ID | 55303 |
JaLCDOI | |
フルテキストURL | |
著者 |
Furui, Atsuo
Department of Orthopaedic Surgery, Fujita Health University, Banbuntane Houtokukai Hospital
Terada, Nobuki
Department of Orthopaedic Surgery, Fujita Health University, Banbuntane Houtokukai Hospital
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抄録 | Achieving sufficient support of the anterior cortex of the femoral neck is a fundamental goal of the reduction of trochanteric fractures. However, anterior-cortex support is often lost after the fracture reduction. Our aim was to analyze factors contributing to the postoperative displacement of an acceptably reduced trochanteric fracture. The cases of 40 patients with a post-reduction Ikuta subtype N fracture alignment were reviewed. All fractures were fixed with 135° free-sliding plates. On postoperative day 14, patients were classified into two groups: those with retention of the Ikuta subtype N alignment, and those with progression to Ikuta subtype P alignment. The clinical and radiological factors were evaluated between the groups. In addition, to define one of the factors, i.e., the postoperative rotational displacement between the proximal and distal fragments, the relationship between radiographic findings and computed tomography image measurements was assessed in 15 of the 40 patients. Angulation at the fracture site on lateral view radiographs was defined as postoperative rotational displacement, and unstable trochanteric fractures and postoperative rotational displacement were identified as significant risk factors for the postoperative displacement. Therefore, cautious and careful follow-up is warranted for patients with unstable trochanteric fractures or fractures having rotational displacement.
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キーワード | trochanteric fracture
sliding hip screw
subtype
rotational displacement
iliofemoral ligament
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Amo Type | Original Article
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出版物タイトル |
Acta Medica Okayama
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発行日 | 2017-08
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巻 | 71巻
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号 | 4号
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出版者 | Okayama University Medical School
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開始ページ | 269
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終了ページ | 277
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ISSN | 0386-300X
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NCID | AA00508441
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資料タイプ |
学術雑誌論文
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言語 |
英語
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著作権者 | CopyrightⒸ 2017 by Okayama University Medical School
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論文のバージョン | publisher
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査読 |
有り
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PubMed ID |