Düz Proksimal Femur Çivileri Femurun Anterior Eğimi ile Uyumsuzdur

Autor: Fatih YILDIZ, Yunus GÜZEL, Tunay ERDEN, Deniz KARA, Nuh Memet ELMADAĞ
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Bezmiâlem Science, Vol 7, Iss 1, Pp 38-42 (2019)
Druh dokumentu: article
ISSN: 2148-2373
DOI: 10.14235/bas.galenos.2018.2241
Popis: Objective:Increased anterior bow of the femur due to advanced age and osteoporosis impinges with the distal part of the non-anatomic, standard proximal femoral nails (PFN), which is one of the most preferred implant for the fixation of trochanteric fractures (TF) in the elderly. The relation between increased femoral bowing and standard PFN application was investigated.Methods:Radiographs of 111 patients (59 men, 52 women; mean age 74.5 years), who were treated with PFN due to TF between 2011 and 2015, were evaluated retrospectively. Relation between the nail and the anterior cortex was determined by measuring the angle between distal anatomical axes of the nail and the femur (ADA). The patients were divided into two groups according to their ADA (group 1 ADA ≤4° and group 2 ADA >4°). Functional results and pain was evaluated using Harris Hip Score (HHS) and visual analog scale (VAS). Complications were also recorded.Results:The mean amount of ADA was 4.5°±1.5°. Forty-seven patients were classified in group 1 and 64 patients were in group 2. The mean HHSs were 80.6 and 79.3 (p=0.464), and the mean VAS scores were 2.13 and 5.35 (p
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