Comparison of Operative Methods between Retrograde and Antegrade Nailing for Ipsilateral Femoral Shaft and Neck Fracture
Journal of the Korean Fracture Society
; : 135-140, 2007.
Article
en Ko
| WPRIM
| ID: wpr-200964
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: To compare retrospectively the antegrade and retrograde nailing in the management of ipsilateral femoral neck and shaft fractures. MATERIALS AND METHODS: Thirty-two patients (thirty-three injuries) were included in this study. Mean age of patients was 38 years-old in the antegrade nailing group (16 injuries) and 44 years-old in the retrograde nailing group (17 injuries). We compared the union of fractures and complications between two groups, and investigated the influencing factors. RESULTS: Femoral shaft fracture was united in 10 cases (63%) of antegrade group and 12 cases (71%) of retrograde group, at 28.2 and 27.3 weeks respectively. Nonunion was more prevalent in Winquist-Hansen III and IV (5 in antegrade nailing, 3 in retrograde nailing) than I and II. Femoral neck fracture was united with 1 case of nonunion in each group. Nonunion developed from Garden stage IV, but fractures of Garden stage I and II united regardless of methods. CONCLUSION: In ipsilateral femoral neck and shaft fractures, the kinds of methods did not affect the results of shaft fractures. Minimally displaced neck fractures also were not influenced by kinds of methods, but retrograde nailing may have a benefit in fixing the displaced neck fractures
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Estudios Retrospectivos
/
Agricultura
/
Fracturas del Cuello Femoral
/
Cuello Femoral
/
Métodos
/
Cuello
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
Ko
Revista:
Journal of the Korean Fracture Society
Año:
2007
Tipo del documento:
Article