Comparison Study of Intertrochanteric Fractures Treated with Intertrochanteric/subtrochanteric Fixation with a Standard vs a Mini-incision

Se Dong Kim; Oog Jin Sohn; Jae Ho Cho

doi:10.12671/jkfs.2008.21.1.1

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Kim, Sohn, and Cho: Comparison Study of Intertrochanteric Fractures Treated with Intertrochanteric/subtrochanteric Fixation with a Standard vs a Mini-incision

Original Article

Journal of the Korean Fracture Society 2008; 21(1): 1-7.

Published online: 31 January 2008

DOI: https://doi.org/10.12671/jkfs.2008.21.1.1

Comparison Study of Intertrochanteric Fractures Treated with Intertrochanteric/subtrochanteric Fixation with a Standard vs a Mini-incision

Se Dong Kim, M.D., Oog Jin Sohn, M.D., Jae Ho Cho, M.D.

Department of Orthopaedic Surgery, Yeungnam University Hospital, Daegu, Korea.

Address reprint requests to: Oog Jin Sohn, M.D. Department of Orthopedic Surgery, Yeungnam University Hospital, 317-1, Daemyeong 5-dong, Nam-gu, Daegu 705-717, Korea. Tel: 82-53-620-3647, Fax: 82-53-628-4020, ossoj@med.yu.ac.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate the radiographic, clinical results between who had intertrochnateric fracture, treated with ITST with a standard or a mini-incision.

Materials and Methods

We selected each 20 patients of intertrochanteric fracture which were treated with ITST with a standard incision or a mini-incision from June 2004 to July 2006. We compared of mean operative time, transfusion doses and postoperative VAS score between two groups. We evaluated the radiographic results by follow-up radiography and the clinical results with the mobility score of Parker and Palmer and Salvati and Wilson hip function scoring system.

Results

Mean operative time, transfusion doses and postoperative VAS score were significantly less in the mini-incision there were 87.8 min., 2.0 pints and 4.2 for the standard group versus 40.3 min., 1.1 pints and 3.3 for the mini group. The radiographic results were not significantly different. Decrease of mobility score of Parker and Palmer and Salvati and Wilson hip function scoring system were similar.

Conclusion

Mini-incision significantly reduces operative time, transfusion doses and postoperative pain for fixation intertrochanteric fracture treated with ITST.

Keywords: Femur intertrochanteric fracture, Intertrochanteric/subtrochanteric fixation, Mini-incision

Figures and Tables

Fig. 1

Gross photography of ITST (intertrochanteric/subtrochanteric) intermedullary nail.

Fig. 2

(A) Standard incision.

(B) Mini-incision.

Fig. 3

Postoperative pain.

Table 1

Intra-, postoperative data of the two groups

Table 2

Comparison of radiologic results between the two groups

Table 3

Comparison of clinical results between the two groups

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