Abstract
Objective: Intramedullary nails frequently use in proximal femur fractures. In this study, 49 patients with intertrochanteric fractures were evaluated clinical and radiological results treated with dyna locking trochanteric (DLT™) nail retrospectively.
Methods: Twenty-two (44.9%) patients were male and 27 (55.1%) patients were female. Mean age was 74.29±1.98 (28-99) years and Followed up for a mean of 14.35±3.43 (9-24) months. Thirty-seven (75.6%) of the fractures resulted from simple falls while 6 (12.2%) caused from traffic accidents and 6 (12.2%) fall down from height. There were 24 (49.0%) left and 25 (51.0%) right lower extremities fractured. According to Orthopaedic Trauma Association classification system; 21 (42.9%), 21 (42.9%) and 7 (14.2%) fractures were classified as 31A1, 31A2, and 31A3 respectively. One (2.0%) patient had claviculae fracture, 3 (6.1%) patients had radius distal fracture and 1 (2.0%) patient had total knee arthroplasty. After surgery, X-ray was used for radiological results and functional outcomes were evaluated according to the Harris hip scoring system.
Results: The average waiting time for the surgery was 2.02±0.18 (1-7) days and hospitalization time was 6.23±0.29 (4-15) days. Mean fracture healing time was 11.74±1.82 (8-15) weeks. Three patients had screw cut-out in the follow-up time and performed hemiarthroplasty. The average Harris hip score was 88.02±1.21 (42-97) points and included 29 (59.2%) excellent cases, 17 (34.7%) good and 3 (6.1%) poor.
Conclusion: DLT ™ nail is a safe and successful method because of low complication rates, and capability of detection.
Key words: Intertrochanteric fracture, PFN, DLT™ nail
Keywords
References
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- Schipper IB, Marti RK, Werken C. Unstable trochanteric femoral fractures: extramedullary or intramedullary fixation. Review of literature. Injury 2004;35:142-151.
- Gem M, Özkul E, Alemdar C, ve ark. Femur boyun kırıklarının tedavisinde kanüllü vida ile dinamik kalça vidasının karşılaştırılması. J Clin Exp Invest 2015;6:256-262.
- Günay C, Atalar H, Altay M, et al. Does the wedge wing in the neck screw prevent cut-out failure in OTA/AO 31- A2 trochanteric fractures in elderly patients? Acta Orthop Belg 2014;80:26-33.
- Temiz A, Durak A, Atici T. Unstable intertrochanteric femur
- fractures in geriatric patients treated with the DLT trochanteric
- nail. Injury 2015;46:41-46.
- Weller I, Wai EK, Jaglal S, Kreder HJ. The effect of hospital type and surgical delay on mortality after surgery for hip fracture. J Bone Joint Surg Br 2005;87:361-366.
- Kim SS, Le KY, Kim CH, et al. Comparison of the Dyna locking trochanteric nail, proximal femoral nail antirotation and gamma 3 nail in treatment of intertrochanteric fracture of the femur. Hip Pelvis 2013;25:211-219.
- Kim YS, Yoon JW, Han SK. Treatment of Intertrochanteric
- Fracture of the Femur Using a Dyna Locking Trochanteric (DLT) Nail. J Korean Hip Soc 2010;22:216-221.
- Li MH, Wu L, Liu Y, Wang CM. Clinical evaluation of the Asian proximal femur intramedullary nail antirotation system (PFNA-II) for treatment of intertrochanteric fractures. J Orthop Surg Res 2014;9:112.
- Nikoloski AN, Osbrough AL, Yates PJ. Should the tip-apex distance (TAD) rule bemodified for the proximal femoral nail antirotation (PFNA)? A retrospective study. J Orthop Surg Res 2013;8:35.
- Huang H, Xin J, Ma B. Analysis of Complications intertrochanteric
- fracture treated Gamma 3 intramedullary nail. Int J Clin Exp Med 2014;7:3687-3693.
- Seyhan M, Ünay K. Trokanterkırıklarının tedavisinde PFN ve PFNA Çivilerinin Karşılaştırılması. Göztepe Tıp Dergisi 2013;28:86-94.
- Schipper BI, Steyerberg EW, Castelein MR, et al. Treatment of unstable trochanteric fractures, Randomised comparison of the Gamma Nail and the Proximal femoral nail. J Bone Joint Surg 2004;86:86-94
Abstract
References
- Başbozkurt M, Yıldız C. Kalçanın kırık ve çıkıkları. Ed; Canale T, Beaty JH. In Campbell’s operative orthopedics türkçe baskı,11. Baskı, Ankara, Güneş tıp kitapevi, 2011:3237-3271.
- Mahiroğulları M, Çakmak S, Kürklü M, ve ark. Proksimal femur kırıklarının tedavisinde minimal invaziv cerrahi ve kilitli plak uygulaması. TOTBİD Dergisi 2012;11:49-54.
- Schipper IB, Marti RK, Werken C. Unstable trochanteric femoral fractures: extramedullary or intramedullary fixation. Review of literature. Injury 2004;35:142-151.
- Gem M, Özkul E, Alemdar C, ve ark. Femur boyun kırıklarının tedavisinde kanüllü vida ile dinamik kalça vidasının karşılaştırılması. J Clin Exp Invest 2015;6:256-262.
- Günay C, Atalar H, Altay M, et al. Does the wedge wing in the neck screw prevent cut-out failure in OTA/AO 31- A2 trochanteric fractures in elderly patients? Acta Orthop Belg 2014;80:26-33.
- Temiz A, Durak A, Atici T. Unstable intertrochanteric femur
- fractures in geriatric patients treated with the DLT trochanteric
- nail. Injury 2015;46:41-46.
- Weller I, Wai EK, Jaglal S, Kreder HJ. The effect of hospital type and surgical delay on mortality after surgery for hip fracture. J Bone Joint Surg Br 2005;87:361-366.
- Kim SS, Le KY, Kim CH, et al. Comparison of the Dyna locking trochanteric nail, proximal femoral nail antirotation and gamma 3 nail in treatment of intertrochanteric fracture of the femur. Hip Pelvis 2013;25:211-219.
- Kim YS, Yoon JW, Han SK. Treatment of Intertrochanteric
- Fracture of the Femur Using a Dyna Locking Trochanteric (DLT) Nail. J Korean Hip Soc 2010;22:216-221.
- Li MH, Wu L, Liu Y, Wang CM. Clinical evaluation of the Asian proximal femur intramedullary nail antirotation system (PFNA-II) for treatment of intertrochanteric fractures. J Orthop Surg Res 2014;9:112.
- Nikoloski AN, Osbrough AL, Yates PJ. Should the tip-apex distance (TAD) rule bemodified for the proximal femoral nail antirotation (PFNA)? A retrospective study. J Orthop Surg Res 2013;8:35.
- Huang H, Xin J, Ma B. Analysis of Complications intertrochanteric
- fracture treated Gamma 3 intramedullary nail. Int J Clin Exp Med 2014;7:3687-3693.
- Seyhan M, Ünay K. Trokanterkırıklarının tedavisinde PFN ve PFNA Çivilerinin Karşılaştırılması. Göztepe Tıp Dergisi 2013;28:86-94.
- Schipper BI, Steyerberg EW, Castelein MR, et al. Treatment of unstable trochanteric fractures, Randomised comparison of the Gamma Nail and the Proximal femoral nail. J Bone Joint Surg 2004;86:86-94
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Articles |
| Authors | |
| Publication Date | January 8, 2016 |
| Submission Date | January 8, 2016 |
| Published in Issue | Year 2015 Volume: 42 Issue: 4 |