Operative Treatment with ITST in Femur Trochanteric Fracture

Ki-Do Hong; Jae-Chun Sim; Sung-Sik Ha; Jae-Young Kim; Jung-Ho Kang; Kwang-Hee Park

doi:10.12671/jkfs.2008.21.4.274

Journal List > J Korean Fract Soc > v.21(4) > 1037659

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Hong, Sim, Ha, Kim, Kang, and Park: Operative Treatment with ITST in Femur Trochanteric Fracture

Original Article

Journal of the Korean Fracture Society 2008; 21(4): 274-278.

Published online: 31 October 2008

DOI: https://doi.org/10.12671/jkfs.2008.21.4.274

Operative Treatment with ITST in Femur Trochanteric Fracture

Ki-Do Hong, M.D., Jae-Chun Sim, M.D., Sung-Sik Ha, M.D., Jae-Young Kim, M.D., Jung-Ho Kang, M.D., Kwang-Hee Park, M.D.

Department of Orthopedic Surgery, Seoul Adventist Hospital, Seoul, Korea.

Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Seoul Adventist Hospital, 29-1, Hwigyeong 2-dong, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3581, Fax: 82-2-2217-1897, gowinfree@nate.com

Received 26 April 2008 Revised 2 July 2008 Accepted 23 July 2008

(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 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 5.21° 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.

Keywords: Femur, Trochanteric fracture, Intertrochanteric/Subtrochanteric fixation

Figures and Tables

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.

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.

Table 1

Motility assessment (Ceder et al.)

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