J Korean Fract Soc.  2008 Oct;21(4):274-278. 10.12671/jkfs.2008.21.4.274.

Operative Treatment with ITST in Femur Trochanteric Fracture

• Hong KD
• Sim JC
• Ha SS
• Kim JY
• Kang JH
• Park KH

• KMID: 1480915
• DOI: http://doi.org/10.12671/jkfs.2008.21.4.274

Abstract

PURPOSE: To evaluate the clinical and radiographic results of treatment of trochanteric fracture with ITST (Intertrochanteric/ Subtrochanteric) nail.
MATERIALS AND METHODS
We reviewed the results of 40 cases of trochanteric fracture treated with ITST from January 2006 to May 2007, which could be followed up for more than 12 months. The cases include 13 males and 27 females, and the mean age is 75.6 years old. The clinical results were evaluated by Ceder mobility assessment, and the radiographic results were evaluated by the change of femoral neck-shaft angle and sliding of lag screw.
RESULTS
The mean bone union time is 13.5 weeks. Thirty four cases (85%) were recovered to pre-injury state of walking ability. The change of neck-shaft angle was an average of 5.21degrees and the sliding distance of lag screw was an average of 5.78 mm. Complications were occurred in 4 patients (10%).
CONCLUSION
The ITST nail were seen good results in treatment of trochanteric fracture and has relatively less complications than other internal fixator.

Keyword

Femur; Trochanteric fracture; Intertrochanteric/Subtrochanteric fixation

MeSH Terms

Female
Femur
Humans
Male
Nails
Walking

Figure

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  Fig. 1 (A) Lt. femur AP view shows A2 type unstable intertrochanteric fracture (according to OTA/OA classification) of 77 years old female patient. (B) Immediate postoperative radiograph shows acceptable reduction and fixation. (C) 8 months postoperative radiograph shows that complete bone union was obtained.

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  Fig. 2 (A) Rt. femur AP view shows A1 type stable intertrochanteric fracture (according to OTA/OA classification) of 78 years old male patient. (B) Immediate postoperative radiograph shows peri-distal stem fracture. (C) 10 months postoperative radiograph shows that nearly complete bone union of peri-distal stem and intertrochanteric fracture was obtained, and that 7° varus change with 10 mm lag screw sliding was obtained.

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