J Korean Orthop Assoc.  1979 Dec;14(4):643-647. 10.4055/jkoa.1979.14.4.643.

A Clinical Study of the Trochanteric Fractures of the Femur

• Yoon TH
• Lim I
• Kim JH

• KMID: 2460264
• DOI: http://doi.org/10.4055/jkoa.1979.14.4.643

Abstract

31 cases of the trochanteric fractures were treated at the Department of Orthopedic Surgery, Chosun University Hospital, from Jan. 1975 to Dec. 1978 and the following results were obtained. 1. The sex ratio was 3:2 (male to female). 18 cases were in man, with the peak age at the 4th decade and 5th decade and 13 cases were in woman over the 6th decade. 2. The most common causes of the trochanteric fractures were traffic accident or fall in man and slipping in woman. 3. The features of the trochanteric fractures were mostly unstable type (60%) and 16 cases in the right hip (52%) and 15 cases in the left hip (48%). 4. Dimon-Hughston method and Wayne-Country method were used to the unstable fractures and anatomical reduction to the stable fracture was maintained by inserting the S-P nail, Jewett nail and Mclaughlin nail. 5. Post-operative cast immobilization was applled until clinical union was oftained on the fracture site and early weight bearlng was carried out for the acceleration of the bony union. 6. Complications were found in 50% of the group treated by conservative method, while it occurred in 21.7% of the group treated surgically.

MeSH Terms

Acceleration
Accidents, Traffic
Clinical Study*
Female
Femur*
Hip
Hip Fractures*
Humans
Immobilization
Methods
Orthopedics
Sex Ratio