Original Article

J Korean Hip Soc 2007; 19(3): 183-189

Published online September 1, 2007

© The Korean Hip Society

PFNA를 이용한 대퇴골 근위부 관절외 골절의 치료 - 근위 대퇴정(PFN)과의 비교 -

이진영∙이승용

한림대학교 정형외과학교실 강동성심병원 정형외과

Treatment of the Proximal Femoral Extracapsular Fracture with Proximal Femoral Nail Antirotation (PFNA) - Comparison with Proximal Femoral Nail (PFN) -

Jin-Young Lee, M.D., Seung-Young Lee, M.D.

Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University, Seoul, Korea

Correspondence to : 이승용
서울특별시 강동구 길동 445번지 강동성심병원 정형외과
TEL: 82-2-2224-2230
FAX: 82-2-489-4391
E-mail: yong4616@hallym.or.kr

Abstract

Purpose: This study compared the treatment results between PFN (Proximal Femoral Nail, AO synthes) and newly designed PFNA (Proximal Femoral Nail Antirotation, AO synthes) for proximal femoral fractures.
Materials and Methods: Twenty cases, who were treated with PFNA to 20 matched pairs in regard of gender, fracture type, age among who were treated with PFN, were compared retrospectively. The clinical results were evaluated with the operation time, intraoperative bleeding and transfusion. The plain anteroposterior, axial radiograph postoperatively and the measured Cleveland Index and Tip Apex Distance were checked. Bone union, PFNA blade sliding and complications were estimated from the follow up radiograph.
Results: There was a lower operation time and intraoperative bleeding in the PFNA group than in the PFN group but the bone union time and transfusion was similar in both groups. The Cleveland Index and Tip Apex Distance from the postoperative radiographs were similar but sliding and complications were lower in the PFNA cases.
Conclusion: PFNA is superior to PFN because the operation time and intraoperative bleeding were diminished, and the complications, such as back out, had decreased.

Keywords Femur, Proximal fracture, PFNA (Proximal Femoral Nail Antirotation), Matched pair study

Article

Original Article

J Korean Hip Soc 2007; 19(3): 183-189

Published online September 1, 2007 https://doi.org/10.5371/jkhs.2007.19.3.183

Copyright © The Korean Hip Society.

PFNA를 이용한 대퇴골 근위부 관절외 골절의 치료 - 근위 대퇴정(PFN)과의 비교 -

이진영∙이승용

한림대학교 정형외과학교실 강동성심병원 정형외과

Treatment of the Proximal Femoral Extracapsular Fracture with Proximal Femoral Nail Antirotation (PFNA) - Comparison with Proximal Femoral Nail (PFN) -

Jin-Young Lee, M.D., Seung-Young Lee, M.D.

Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University, Seoul, Korea

Correspondence to:이승용
서울특별시 강동구 길동 445번지 강동성심병원 정형외과
TEL: 82-2-2224-2230
FAX: 82-2-489-4391
E-mail: yong4616@hallym.or.kr

Abstract

Purpose: This study compared the treatment results between PFN (Proximal Femoral Nail, AO synthes) and newly designed PFNA (Proximal Femoral Nail Antirotation, AO synthes) for proximal femoral fractures.
Materials and Methods: Twenty cases, who were treated with PFNA to 20 matched pairs in regard of gender, fracture type, age among who were treated with PFN, were compared retrospectively. The clinical results were evaluated with the operation time, intraoperative bleeding and transfusion. The plain anteroposterior, axial radiograph postoperatively and the measured Cleveland Index and Tip Apex Distance were checked. Bone union, PFNA blade sliding and complications were estimated from the follow up radiograph.
Results: There was a lower operation time and intraoperative bleeding in the PFNA group than in the PFN group but the bone union time and transfusion was similar in both groups. The Cleveland Index and Tip Apex Distance from the postoperative radiographs were similar but sliding and complications were lower in the PFNA cases.
Conclusion: PFNA is superior to PFN because the operation time and intraoperative bleeding were diminished, and the complications, such as back out, had decreased.

Keywords: Femur, Proximal fracture, PFNA (Proximal Femoral Nail Antirotation), Matched pair study

H&P
Vol.36 No.1 Mar 01, 2024, pp. 1~75

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