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Asian Type 감마 3 정을 이용한 대퇴골 전자간 골절의 치료결과 분석
황병철 ( Bing Zhe Huang ),박용욱 ( Yong Wook Park ),박진수 ( Jin Su Park ),노규철 ( Kyu Cheol Noh ),김성연 ( Soung Yon Kim ),정국진 ( Kook Jin Chung ),김홍균 ( Hong Kyun Kim ),김형년 ( Hyong Nyun Kim ),윤용현 ( Yong Hyun Yoon ) 대한골절학회 2014 대한골절학회지 Vol.27 No.3
Purpose: This study was conducted in order to demonstrate the radiologic and clinical results of using the Asian type gamma 3 nail in treatment of trochanteric fractures. Materials and Methods: Patients underwent operations with gamma 3 nails between August 2010 and August 2012. For the radiologic evaluation, we analyzed bone quality, fracture pattern, reduction quality, union period, and position of lag screw (tip-apex distance, Cleveland index). For the clinical evaluation, we analyzed mobility score of Palmer and Parker and Jensen`s functional score. Results: The mean union was taken at 17.4 weeks (14-25 weeks). Two cases (4.3%) underwent reoperation due to cutting out of the hip screws. The clinical outcomes of Parker and Palmer`s average mobility score changed from 7.3 to 5.8 (79%), Jensen`s functional score was 1.3 to 1.8 (72%). Conclusion: We achieved excellent clinical and radiological outcomes; therefore, Asian type gamma 3 nail is effective in treatment of trochanteric fractures of the femur in Korea.