Original Article

J Korean Hip Soc 2010; 22(3): 216-221

Published online September 1, 2010

© The Korean Hip Society

Treatment of Intertrochanteric Fracture of the Femur Using a Dyna Locking Trochanteric (DLT) Nail

Yong-Sik Kim, MD*, Jae-Woong Yoon, MD, Suk-Ku Han, MD

Department of Orthopaedic Surgery, St. Paul’s Hospital and Seoul St. Mary’s Hospital*, College of Medicine, The Catholic University of Korea, Seoul, Korea

Correspondence to : Suk-Ku Han, MD
Department of Orthopaedic Surgery, St. Paul’s Hospital, College of Medicine, The Catholic University of Korea, 620-56 Jeonnong 2-dong, Dongdaemun-gu, Seoul 130-709, Korea
TEL: +82-2-961-4503 FAX: +82-2-965-1456
E-mail: hnsukku@catholic.ac.kr

Received: April 13, 2010; Revised: September 28, 2010; Accepted: September 30, 2010

Abstract

Purpose: We analyzed the clinical and radiological results after treatment of intertrochanteric fracture of the femur using a Dyna locking trochanteric (DLT) nail.
Materials and Methods: From March 2008 to February 2009, 36 patients (10 males and 26 females) who had at least 6 months follow-up among 43 patients were included in our study. The average age of the patients was 76.4 years (range: 65~90 years) and the average follow-up period was 13.4 months (range: 9~21 months). We evaluated the radiological results such as the neck-shaft angle and the sliding length of the lag screw at last follow-up and the clinical results such as intraoperative complications, the operation time, the postoperative blood loss and the incidence of fixation failure.
Results: The average neck-shaft angle at last follow-up was 131.1 degrees and the average sliding length of lag screw was 3.6 mm. Two cases (5.6%) of femoral shaft fracture during the insertion of a lag screw or nail happened and one case of stress fracture of the femoral neck occurred. Two cases of fixation failure developed due to deep infection or varus angulation.
Conclusion: Fixation using a DLT nail can be a good option for the treatment of intertrochanteric fractures of the femur.

Keywords Femur, Intertrochanteric fracture, Dyna locking trochanteric nail

Article

Original Article

J Korean Hip Soc 2010; 22(3): 216-221

Published online September 1, 2010 https://doi.org/10.5371/jkhs.2010.22.3.216

Copyright © The Korean Hip Society.

Treatment of Intertrochanteric Fracture of the Femur Using a Dyna Locking Trochanteric (DLT) Nail

Yong-Sik Kim, MD*, Jae-Woong Yoon, MD, Suk-Ku Han, MD

Department of Orthopaedic Surgery, St. Paul’s Hospital and Seoul St. Mary’s Hospital*, College of Medicine, The Catholic University of Korea, Seoul, Korea

Correspondence to:Suk-Ku Han, MD
Department of Orthopaedic Surgery, St. Paul’s Hospital, College of Medicine, The Catholic University of Korea, 620-56 Jeonnong 2-dong, Dongdaemun-gu, Seoul 130-709, Korea
TEL: +82-2-961-4503 FAX: +82-2-965-1456
E-mail: hnsukku@catholic.ac.kr

Received: April 13, 2010; Revised: September 28, 2010; Accepted: September 30, 2010

Abstract

Purpose: We analyzed the clinical and radiological results after treatment of intertrochanteric fracture of the femur using a Dyna locking trochanteric (DLT) nail.
Materials and Methods: From March 2008 to February 2009, 36 patients (10 males and 26 females) who had at least 6 months follow-up among 43 patients were included in our study. The average age of the patients was 76.4 years (range: 65~90 years) and the average follow-up period was 13.4 months (range: 9~21 months). We evaluated the radiological results such as the neck-shaft angle and the sliding length of the lag screw at last follow-up and the clinical results such as intraoperative complications, the operation time, the postoperative blood loss and the incidence of fixation failure.
Results: The average neck-shaft angle at last follow-up was 131.1 degrees and the average sliding length of lag screw was 3.6 mm. Two cases (5.6%) of femoral shaft fracture during the insertion of a lag screw or nail happened and one case of stress fracture of the femoral neck occurred. Two cases of fixation failure developed due to deep infection or varus angulation.
Conclusion: Fixation using a DLT nail can be a good option for the treatment of intertrochanteric fractures of the femur.

Keywords: Femur, Intertrochanteric fracture, Dyna locking trochanteric nail

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

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