Original Article

J Korean Hip Soc 2008; 20(4): 278-285

Published online December 1, 2008

© The Korean Hip Society

대퇴 전자간 골절에서 타곤 근위 대퇴정과 압박고 나사를 이용한 치료 결과의 비교

유기형*∙채우영∙한계영

강원대학교 의과대학 정형외과학교실, 경희대학교 동서신의학병원 정형외과학교실*

Received: August 13, 2008; Revised: October 21, 2008; Accepted: November 24, 2008

Comparison of the Targon® Proximal Femoral Nail and the Compression Hip Screw for Treating Intertrochateric Fracture of the Femur

Kee Hyung Rhyu, M.D.*, Woo Young Chae, M.D., Kye Young Han, M.D.

Department of Orthopaedic Surgery, Kangwon National University, College of Medicine, Chuncheon, Department of Orthopaedic Surgery, East-West Neo Medical Center of Kyung Hee University, Seoul, Korea*

Correspondence to : 한계영
강원도 춘천시 효자3동 17-1 강원대학교 의과대학 정형외과학교실
TEL: 82-33-258-2308
FAX: 82-33-244-2205
E-mail: hkyljh@kangwon.ac.kr

Received: August 13, 2008; Revised: October 21, 2008; Accepted: November 24, 2008

Abstract

Purpose: We wanted to compare the clinical and radiological outcomes of using compression hip screws with those of using Targon proximal femoral nails for the treatment of intertrochanteric fracture of the femur.
Materials and Methods: From April 2001 to December 2005, we reviewed 93 patients who suffered with intertrochanteric fracture and they had a minimum follow up for 6 months (47 cases of Targon® proximal femoral nail (Group 1) and 46 cases of compression hip screw (Group 2) ) Both groups were compared with regard to the operation time, the number of transfusions, pain as analyzed by the visual analogue scale (VAS), the timing of maximum tolerable weight-bearing and the complications. Radiological assessment was directed toward the time of boney union, and we also assessed the changes observed between the immediate postoperative roentgenograms and final follow-up roentgenograms according to various parameters
Results: Group 1 had significantly better clinical results for the mean operation time, the number of transfusions and the mean time to self ambulation. Radiologically, there were fewer complications such as a medially displaced femoral shaft, cut out of the lag screw and nonunion in Group1
Conclusion: Better clinical and radiological results can be achieved with using Targon proximal femoral nails compared with that of using compression hip screws for the treatment of intertrochanteric fracture of the femur

Keywords Femur, Intertrochanteric fracture, Targon® Proximal femoral nail, Compression hip screw

Article

Original Article

J Korean Hip Soc 2008; 20(4): 278-285

Published online December 1, 2008 https://doi.org/10.5371/jkhs.2008.20.4.278

Copyright © The Korean Hip Society.

대퇴 전자간 골절에서 타곤 근위 대퇴정과 압박고 나사를 이용한 치료 결과의 비교

유기형*∙채우영∙한계영

강원대학교 의과대학 정형외과학교실, 경희대학교 동서신의학병원 정형외과학교실*

Received: August 13, 2008; Revised: October 21, 2008; Accepted: November 24, 2008

Comparison of the Targon® Proximal Femoral Nail and the Compression Hip Screw for Treating Intertrochateric Fracture of the Femur

Kee Hyung Rhyu, M.D.*, Woo Young Chae, M.D., Kye Young Han, M.D.

Department of Orthopaedic Surgery, Kangwon National University, College of Medicine, Chuncheon, Department of Orthopaedic Surgery, East-West Neo Medical Center of Kyung Hee University, Seoul, Korea*

Correspondence to:한계영
강원도 춘천시 효자3동 17-1 강원대학교 의과대학 정형외과학교실
TEL: 82-33-258-2308
FAX: 82-33-244-2205
E-mail: hkyljh@kangwon.ac.kr

Received: August 13, 2008; Revised: October 21, 2008; Accepted: November 24, 2008

Abstract

Purpose: We wanted to compare the clinical and radiological outcomes of using compression hip screws with those of using Targon proximal femoral nails for the treatment of intertrochanteric fracture of the femur.
Materials and Methods: From April 2001 to December 2005, we reviewed 93 patients who suffered with intertrochanteric fracture and they had a minimum follow up for 6 months (47 cases of Targon® proximal femoral nail (Group 1) and 46 cases of compression hip screw (Group 2) ) Both groups were compared with regard to the operation time, the number of transfusions, pain as analyzed by the visual analogue scale (VAS), the timing of maximum tolerable weight-bearing and the complications. Radiological assessment was directed toward the time of boney union, and we also assessed the changes observed between the immediate postoperative roentgenograms and final follow-up roentgenograms according to various parameters
Results: Group 1 had significantly better clinical results for the mean operation time, the number of transfusions and the mean time to self ambulation. Radiologically, there were fewer complications such as a medially displaced femoral shaft, cut out of the lag screw and nonunion in Group1
Conclusion: Better clinical and radiological results can be achieved with using Targon proximal femoral nails compared with that of using compression hip screws for the treatment of intertrochanteric fracture of the femur

Keywords: Femur, Intertrochanteric fracture, Targon®, Proximal femoral nail, Compression hip screw

H&P
Vol.36 No.1 Mar 01, 2024, pp. 1~75

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