Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2008 Oct;21(4):347-352. Korean.
    Published online Oct 31, 2008.
    https://doi.org/10.12671/jkfs.2008.21.4.347
    Copyright © 2008 The Korean Fracture Society. All rights reserved.
    Review

    What is an Ideal Treatment?

    Chang-Wug Oh, M.D.
      • Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Deagu, Korea.
    • Address reprint requests to: Chang-Wug Oh, M.D. Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, 101, Dongin-dong 2-ga, Jung-gu, Deagu 700-422, Korea. Tel: 82-53-420-5630, Fax: 82-053-422-6605, Email: cwoh@knu.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.

    Figures

    Fig. 1
    In subtrochanteric fractures, the proximal fragment is in abduction and flexion by the pulling of gluteus medius and iliopsoas muscle, and the distal fragment is in adduction by the adductor muscle.

    Fig. 2
    A varus malalignment with nonunion after cephalomedullary nailing of subtrochanteric fracture.

    Fig. 3
    (A, B, C) A comminuted subtrochanteric fracture was treated by MIPO (minimally invasive plate osteosynthesis) with DCS system. (D) The fracture healed uneventfully.

    Fig. 4
    In a subtrochanteric femoral fracture (A), MIPO was performed with various tips (joystick method, percutaneous lag screw) (B~F).
    (G) A good alignment was achieved postoperatively.

    (H) Union was achieved after 5 months.

    Fig. 5
    In a subtrochanteric femoral fracture extending to the neck (A), MIPO was performed after the fixation of neck fracture (B~F).
    (G) A good alignment was achieved postoperatively.

    (H) Union was achieved after 6 months.

    References

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