J Korean Fract Soc.  2002 Jul;15(3):307-311. 10.12671/jksf.2002.15.3.307.

Treatment of Pertrochanteric Fracture with Femoral Neck Fracture

• Kim WY
• Han CW
• Choi WS
• Ji JH
• Moon CY
• Kim JY

• KMID: 1837984
• DOI: http://doi.org/10.12671/jksf.2002.15.3.307

Abstract

OBJECTIVES
To establish the precise diagnosis of a comminuted pertrochanteric fracture with femoral neck fracture in a senile osteoporotic patient and report of a preliminary clinical results of early bipolar hemiarthroplasty. MATERIAL & METHODS: Consecutive seven cases of comminuted pertrochanteric fractures who were suspicious to have combination with femoral neck fracture were evaluated. All cases had routine radiographs and CT scans of proximal femur and performed with bipolar hemiarthroplasties. Observation of the retrieved femoral head to evaluate a fracture and recorded with photograph. Postoperative evaluation was done with Daubine & Postel clinical grading with medical recording and personal telephone. The clinical evaluation was focused on the recovery for preinjured walking distance.
RESULTS
All patients were proved to have combination with pertrochanteric fractures and femoral neck fractures. In addition, all patients were recovered to more than good in clinical grading and pre-injured walking distance.
CONCLUSION
To make a precise diagnosis of pertrochanteric fractures with femoral neck fracture it is recommended to perform the CT scan with prompt reading of the simple radiographs in suspicious case. An early bipolar hemiarthroplasty was also recommended to treat this kind of senile difficult fracture.

Keyword

Femur; Pertrochanteric fracture; femoral neck fracture; Retrieved specimen study

MeSH Terms

Diagnosis
Femoral Neck Fractures*
Femur
Femur Neck*
Head
Hemiarthroplasty
Humans
Medical Records
Telephone
Tomography, X-Ray Computed
Walking