January 1, 2005The Journal of the Korean Orthopaedic Association

The Treatment of Unstable Reverse Oblique Intertrochanteric Fractures with Proximal Femoral Nail (PFN)

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Why the study?

Does proximal femoral nail (PFN) improve outcomes in patients with unstable reverse oblique intertrochanteric fractures?

Population

16 cases of AO 31-A3.3 unstable reverse oblique intertrochanteric fracture, mean age 60.2 years old

Design

Case_series

Follow-up

more than six months and until bone union

Authors

JYJe Hyun YooSeoul National University KYKyu Hyun YangSt. Peter's Hospital SPSi-Young ParkYonsei University

Discussion

Member takes

Implication

Supports PFN for union in unstable reverse oblique fractures; hypothesis-generating for functional recovery and implant design.

Structured PICO

Does proximal femoral nail (PFN) improve outcomes in patients with unstable reverse oblique intertrochanteric fractures?

Population

16 cases of AO 31-A3.3 unstable reverse oblique intertrochanteric fracture, mean age 60.2 years old

Intervention

Proximal femoral nail (PFN)

Outcome

Union time, amount of sliding of two screws (neck screw and anti-rotational hip pin), complications (fixation failure and nonunion), and functional results (Parker and Palmer mobility score and Jensen social-function score)

PFN is a suitable implant for unstable reverse oblique intertrochanteric fractures, though implant design revision is recommended to prevent excessive screw migration.

Cite This Study

Yoo et al. (2005) studied this question.

synapsesocial.com/papers/6a911eeb17bbbfe73e745d47 https://doi.org/10.4055/jkoa.2005.40.6.733

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