Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2008 Jan;21(1):1-7. Korean.
    Published online Jan 31, 2008.
    https://doi.org/10.12671/jkfs.2008.21.1.1
    Copyright © 2008 The Korean Fracture Society. All rights reserved.
    Original Article

    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., and 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, Email: ossoj@med.yu.ac.kr

    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

    Fig. 1
    Gross photography of ITST (intertrochanteric/subtrochanteric) intermedullary nail.

    Fig. 2
    (A) Standard incision.
    (B) Mini-incision.

    Fig. 3
    Postoperative pain.

    Tables

    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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    MeSH Terms
    Follow-Up Studies
    Hip
    Hip Fractures
    Humans
    Operative Time
    Pain, Postoperative
    Metrics
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