J Korean Fract Soc.  2003 Apr;16(2):143-147. 10.12671/jksf.2003.16.2.143.

The Result of Proximal Femoral Nailing (PFN(R)) for Unstable Femoral Peritrochanteric Fracture

• Lee SY
• Park IH
• Song KW
• Shin SI
• Lee JY
• Cha JH

• KMID: 2195485
• DOI: http://doi.org/10.12671/jksf.2003.16.2.143

Abstract

PURPOSE: We have used the proximal femoral nailing (PFN(R)) to evaluate the result of treatment for unstable femoral peritrochanteric fractures.
MATERIALS AND METHODS
From December 2000 to December 2001, 20 patients who had femoral peritrochanteric fracture were treated with proximal femoral nail (PFN(R)) in our hospital. The mean duration of follow-up was 16.8 months and average age was 58.7 years old. We evaluated the ambulation time, bone union time, neck-shaft angle, neck screw sliding by follow-up radiography, and studied the intra-operative and post-operative complication.
RESULTS
The average ambulation time was 3.8 days, the mean bone union time was 20.9 weeks, the mean neck shaft angle was 130.2 degree at post-operative time and 128.8 degree at last follow-up time, and the average neck screw sliding distance was 4.1 mm. The intra-operative complication was rotation of proximal fracture fragment in 1 case and displacement of femoral greater trochanter in 2 cases at proximal reaming, and displacement of proximal fracture fragment in 1 case at femoral stem insertion. The post-operative complication was coxa vara deformity in 2 cases and superficial wound infection in 1 case.
CONCLUSION
We have conclude that the proximal femoral nail (PFN(R)) could appropriately treat the unstable femoral peritrochanteric fracture and we obtained satisfactory results.

Keyword

Femur; Peritrochanteric fracture; Proximal femoral nail(PFN(R))

MeSH Terms

Congenital Abnormalities
Coxa Vara
Femur
Follow-Up Studies
Humans
Neck
Radiography
Walking
Wound Infection