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송재의 충남대학교 의과대학 지역사회의학연구소 1978 충남의대잡지 Vol.5 No.2
In treatment of trochanteric fractures of the femur, reduction in stable position and rigid internal fixation is required to decresse mortality and morbidity by early ambulation and early weight bearing, especially in elderly. In treatment of unstable fracture, early ambulation and early weight bearing is possible by medial displacement and internal fixation in valgus position with satisfactory result. From Jan. 1973 to Mar. 1978, 50 trcchanteric fractures were treated by surgical measure. at orthopaedic surgery department, Chungnam Naticnal University Hospital, and following results were obtained. 1. Of 50 cases of trochanteric fractures, 36 cases were male, 14 cases were female. 2. In male the incidence was relatively even over all age groups, but in female most of them occured in elderly patient over 60 years old. 3. The most common cause of fracture was traffic accident in all and in male, but in. female slip down was. 4. Unstable type was 62% and comminuted type was most common. 5. In unstable type, stable reduction and rigid fixation was achieved by medial displacement and internal fixation in valgus position with satisfactory result. 6. The incidence of early complication was markedly reduced by early ambulation. 7. The most common late complication was coxa ware deformity and it was mainly noticed in unstable fracture reduced in anatomical position.