Fixation of the Femoral Subtrochanteric Fracture with Minimally Invasive Reduction Techniques.
10.12671/jkfs.2013.26.2.112
- Author:
Chul Hyun PARK
1
;
Chul Wung HA
;
Sang Jin PARK
;
Min Su KO
;
Oog Jin SHON
Author Information
1. Department of Orthopedic Surgery, Yeungnam University College of Medicine, Daegu, Korea. ossoj@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Femur;
Subtrochanteric fracture;
Minimal invasive reduction;
Minimal invasive osteosynthesis
- MeSH:
Femur;
Follow-Up Studies;
Hip;
Humans;
Retrospective Studies
- From:Journal of the Korean Fracture Society
2013;26(2):112-117
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the results of using minimally invasive reduction techniques in patients with femoral subtrochanteric fracture. MATERIALS AND METHODS: We retrospectively analyzed 40 patients (41 cases) with subtrochanteric fracture who underwent using minimally invasive reduction techniques. The mean age was 61.4 years (15-89 years), and the mean follow-up period was 32.7 months (12-66 months). Clinical results were assessed using the Parker-Palmer mobility score and the Salvati-Wilson hip functional score. Radiographic results were evaluated using bone union time and femur neck-shaft angle. RESULTS: No significant difference was observed in the pre- and postoperative Parker-Palmer mobility score. Salvati-Wilson hip functional score showed more than good grade in 37 cases (90%) at the last follow-up. Union was achieved in all 41 cases at an average of 22.5 weeks (18-30 weeks). The mean femoral neck-shaft angle immediately postoperatively was 128.8 degrees (120-140 degrees), and the mean difference versus contralateral sides was 2.5 degrees varus (-6-13 degrees). CONCLUSION: Fixation of femoral subtrochanteric fracture using minimally invasive reduction techniques showed excellent clinical and radiographic results and low complication rate.
