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Abstract
Intertrochanteric fractures of the femur usually occur in the old and are comminuted and unstable. Therefore there were many problems in operative treatment of this fracture such as metal failure, penetration of lag screw into the joint, cutting out and excessive collapse at the fracture site. We analysed 22 Gases, who were admitted and were treated operatively at Hanil General hospital from January 1989 to December 1989 and were followed up at least for one year and the results were as follows :
1. Among 22 cases four cases of fixation failure were found : penetration of lag screw into the joint two cases, excessive collapse two cases.
2. The fixation failure usually occur in the old age(over 80 years old) especlally when the patient were uncooperative.
3. The fixation fallure occurs only in unstable fracture.
4. The accuracy of reduction was considered as major affending factors, because all fixation failures were found in cases in which the distal fragment was reduced medially and anteriorly to the proximal one.
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