J Korean Hip Soc 2006; 18(1): 67-72
Published online March 1, 2006
© The Korean Hip Society
김원유∙한창환∙지종훈∙김영율 ∙이교선∙이세원
가톨릭대학교 의과대학 대전성모병원 정형외과
Correspondence to : 지종훈
대전광역시 중구 대흥동 520-2 가톨릭대학교 대전성모병원 정형외과
Tel: 82-42-220-9530
Fax: 82-42-221-0429
E-mail: junwoo0220@yahoo.co.kr
Purpose: To retrospectively compare the fixation methods for reattaching a trochanteric fragment in a pertrochanteric fracture treated with bipolar hemiarthroplasty.
Materials and methods: Forty cases of an unstable femur pertrochanteric fracture were analyzed and followed up for average of 19(6~40) months. There were 18 cases fixed with tension band wiring (group 1), 7 cases treated using modified tension band wiring with K-wires (group 2) and 15 cases treated with the GTRD (Greater Trochanteric Reattachment Device) (group 3).
Result: Group 1 was treated with simple a surgical procedure and the results were good. The second group had firm fixation postoperatively but required additional surgery in two cases to remove the K-wires because of wire migration after ambulation. Group 3 had relatively good results but required more dissection and a longer operating time.
Conclusion: Tension band wiring or GTRD are good fixation methods for reattaching trochanteric fragments in pertrochanteric fractures. Moreover, tension band wiring is recommended for old osteoporotic patients due to a simple procedure and firm fixation. The use of modified tension band wiring using K-wire or a Steinmann-pin should not be used due to the possibility of distant migration.
Keywords Trochanteric fragment, Pertrochanteric fracture, GTRD, Bipolar hemiarthroplasty
J Korean Hip Soc 2006; 18(1): 67-72
Published online March 1, 2006 https://doi.org/10.5371/jkhs.2006.18.1.67
Copyright © The Korean Hip Society.
김원유∙한창환∙지종훈∙김영율 ∙이교선∙이세원
가톨릭대학교 의과대학 대전성모병원 정형외과
Weon-Yoo Kim, M.D., Chang-Hwan Han, M.D., Jong-Hun Ji, M.D., Young-Yul Kim, M.D., Kyo-Sun Lee, M.D., Se-Won Lee, M.D.
Department of Orthopedic Surgery, Daejeon St. Mary’s hospital, College of Medicine, The Catholic University of Korea, Daejeon 301-723, Korea
Correspondence to:지종훈
대전광역시 중구 대흥동 520-2 가톨릭대학교 대전성모병원 정형외과
Tel: 82-42-220-9530
Fax: 82-42-221-0429
E-mail: junwoo0220@yahoo.co.kr
Purpose: To retrospectively compare the fixation methods for reattaching a trochanteric fragment in a pertrochanteric fracture treated with bipolar hemiarthroplasty.
Materials and methods: Forty cases of an unstable femur pertrochanteric fracture were analyzed and followed up for average of 19(6~40) months. There were 18 cases fixed with tension band wiring (group 1), 7 cases treated using modified tension band wiring with K-wires (group 2) and 15 cases treated with the GTRD (Greater Trochanteric Reattachment Device) (group 3).
Result: Group 1 was treated with simple a surgical procedure and the results were good. The second group had firm fixation postoperatively but required additional surgery in two cases to remove the K-wires because of wire migration after ambulation. Group 3 had relatively good results but required more dissection and a longer operating time.
Conclusion: Tension band wiring or GTRD are good fixation methods for reattaching trochanteric fragments in pertrochanteric fractures. Moreover, tension band wiring is recommended for old osteoporotic patients due to a simple procedure and firm fixation. The use of modified tension band wiring using K-wire or a Steinmann-pin should not be used due to the possibility of distant migration.
Keywords: Trochanteric fragment, Pertrochanteric fracture, GTRD, Bipolar hemiarthroplasty
Sang-Eun Park, MD, Young-Yul Kim, MD, Jae-Jung Jeong, MD, Seung-Gyun Choi, MD, Dong-Seok Jeong, MD, Weon-Yoo Kim, MD
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