Sliding after Internal Fixation of Stable Intertrochanteric Fracture of the Femur.
10.12671/jkfs.2005.18.2.110
- Author:
Woo Suk LEE
1
;
Whan Young CHUNG
;
Woo Sik KIM
;
Yong Chan KIM
;
Taek Soo JEON
;
Sung Kwun JO
;
In Tak BAE
;
Young Su LIM
Author Information
1. Department of Orthopedic Surgery, Konyang University College of Medicine, Daejeon, Korea. sirjeon@kyuh.co.kr
- Publication Type:Original Article
- Keywords:
Femur;
Intertrochanteric fracture;
Sliding;
Compression hip screw
- MeSH:
Bone Density;
Female;
Femur*;
Hip;
Hip Fractures;
Humans;
Male;
Risk Factors
- From:Journal of the Korean Fracture Society
2005;18(2):110-114
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the risk factors of sliding after internal fixation with sliding compression hip screw in stable intertrochanteric fracture of the femur. MATERIALS AND METHODS: From March 2000 to April 2003, 61 stable intertrochanteric fractures (Kyle-Gustilo type II) were treated operatively with sliding compression hip screws. The patients were 40 females and 21 males with an average age of 74 (range, 54~99). We measured vertical and horizontal shortening in regard to age, sex, bone mineral density, neck-shaft angle, cancellous bone defect, and the existence of lessor trochanter fracture on postoperative 6 months. RESULTS: The average vertical shortening was 4.1 mm (0~22 mm) and the average horizontal shortening was 7.3 mm (0~30 mm). Age, sex, bone density and neck-shaft angle were not significantly related with vertical and horizontal shortening (p>0.05). Vertical shortening was significantly greater in the group with cancellous bone defect and in the group without lesser trochanter fracture (p<0.05). CONCLUSION: Proper management for fracture site and fixation was needed to make it stable because the stable intertrochanteric fracture with cancellous bone defect and intact lesser trochanter could be induced into unexpected sliding.
