Original Article

J Korean Hip Soc 2009; 21(3): 252-256

Published online September 1, 2009

© The Korean Hip Society

The Treatment of Trochanteric Femoral Fracture with Using Proximal Femoral Nail Antirotation (PFNA)

Se-Ang Chang, MD, Young-Ho Cho, MD, Young-Soo Byun, MD, Jae-Hui Han, MD, Jae-Young Park, MD, Chung-Yeol Lee, MD

Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea

Correspondence to : Young-Ho Cho, MD
Department of Orthopaedic Surgery, Daegu Fatima Hospital, 576-31 Sinam-dong, Dong-gu, Daegu, 701-600, Korea
TEL: +82-53-940-7324 FAX: +82-53-940-7417
E-mail: femur1973@hanmail.net

Received: June 7, 2009; Revised: September 2, 2009; Accepted: September 2, 2009

Abstract

Purpose: This study was performed to evaluate the usefulness of proximal femoral nail antirotation (PFNA) for internal fixation of femur trochanteric fractures.
Materials and Methods: We operated on 36 femur trochanteric fracture patients with performing PFNA from September, 2006 to November, 2008 and we analyzed the operation time, the blood loss, the union time, the tip apex distance (TAD), the Cleveland index, the sliding distance of the blade and the complications. We also evaluated the clinical results according to the recovery of ambulatory function and the functional recovery score.
Results: The mean operation time was 54 minutes and the mean amount of blood loss amount was 119cc. Thirty two cases progressed to union within 4 months and 4 cases also progressed to union within 6 months without a further operation. The mean TAD was 16mm and the mean sliding distance was 3.8 mm. Clinically, the mean loss of ambulation ability was 1.2 grades and the Jensen functional recovery score was 1.8. There was one case of back out of the blade, but there was no skin problem. There were no significant complications.
Conclusion: The findings from this study indicate that PFNA is a useful and reliable choice for the treatment of trochanteric fracture of the femur.

Keywords Femur, Trochanteric fracture, Proximal femoral nail antirotation (PFNA)

Article

Original Article

J Korean Hip Soc 2009; 21(3): 252-256

Published online September 1, 2009 https://doi.org/10.5371/jkhs.2009.21.3.252

Copyright © The Korean Hip Society.

The Treatment of Trochanteric Femoral Fracture with Using Proximal Femoral Nail Antirotation (PFNA)

Se-Ang Chang, MD, Young-Ho Cho, MD, Young-Soo Byun, MD, Jae-Hui Han, MD, Jae-Young Park, MD, Chung-Yeol Lee, MD

Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea

Correspondence to:Young-Ho Cho, MD
Department of Orthopaedic Surgery, Daegu Fatima Hospital, 576-31 Sinam-dong, Dong-gu, Daegu, 701-600, Korea
TEL: +82-53-940-7324 FAX: +82-53-940-7417
E-mail: femur1973@hanmail.net

Received: June 7, 2009; Revised: September 2, 2009; Accepted: September 2, 2009

Abstract

Purpose: This study was performed to evaluate the usefulness of proximal femoral nail antirotation (PFNA) for internal fixation of femur trochanteric fractures.
Materials and Methods: We operated on 36 femur trochanteric fracture patients with performing PFNA from September, 2006 to November, 2008 and we analyzed the operation time, the blood loss, the union time, the tip apex distance (TAD), the Cleveland index, the sliding distance of the blade and the complications. We also evaluated the clinical results according to the recovery of ambulatory function and the functional recovery score.
Results: The mean operation time was 54 minutes and the mean amount of blood loss amount was 119cc. Thirty two cases progressed to union within 4 months and 4 cases also progressed to union within 6 months without a further operation. The mean TAD was 16mm and the mean sliding distance was 3.8 mm. Clinically, the mean loss of ambulation ability was 1.2 grades and the Jensen functional recovery score was 1.8. There was one case of back out of the blade, but there was no skin problem. There were no significant complications.
Conclusion: The findings from this study indicate that PFNA is a useful and reliable choice for the treatment of trochanteric fracture of the femur.

Keywords: Femur, Trochanteric fracture, Proximal femoral nail antirotation (PFNA)

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

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