Treatment of Intertrochanteric Fracture of the Femur Using a Dyna Locking Trochanteric (DLT) Nail.
10.5371/jkhs.2010.22.3.216
- Author:
Yong Sik KIM
1
;
Jae Woong YOON
;
Suk Ku HAN
Author Information
1. Department of Orthopaedic Surgery, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. hnsukku@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Femur;
Intertrochanteric fracture;
Dyna locking trochanteric nail
- MeSH:
Femur;
Femur Neck;
Follow-Up Studies;
Fractures, Stress;
Hip Fractures;
Humans;
Incidence;
Intraoperative Complications;
Male;
Nails;
Postoperative Hemorrhage
- From:Journal of the Korean Hip Society
2010;22(3):216-221
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We analyzed the clinical and radiological results after treatment of intertrochanteric fracture of the femur using a Dyna locking trochanteric (DLT) nail. MATERIALS AND METHODS: From March 2008 to February 2009, 36 patients (10 males and 26 females) who had at least 6 months follow-up among 43 patients were included in our study. The average age of the patients was 76.4 years (range: 65~90 years) and the average follow-up period was 13.4 months (range: 9~21 months). We evaluated the radiological results such as the neck-shaft angle and the sliding length of the lag screw at last follow-up and the clinical results such as intraoperative complications, the operation time, the postoperative blood loss and the incidence of fixation failure. RESULTS: The average neck-shaft angle at last follow-up was 131.1 degrees and the average sliding length of lag screw was 3.6 mm. Two cases (5.6%) of femoral shaft fracture during the insertion of a lag screw or nail happened and one case of stress fracture of the femoral neck occurred. Two cases of fixation failure developed due to deep infection or varus angulation. CONCLUSION: Fixation using a DLT nail can be a good option for the treatment of intertrochanteric fractures of the femur.
