J Korean Fract Soc.
2002 Jan;15(1):65-71.
Impacted Cancellous Allograft and Valgus Fixation of Intertrochanteric Fracture Nonunion
- Affiliations
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- 1Department of Orthopedic Surgery, ST. Mary`s Hospital, The Catholic University of Korea, Seoul, Korea. cmcos@cmc.cuk.ac.kr
Abstract
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PURPOSE: The aim of this study was attempted to evaluate the effects of impacted cancellous allograft and valgus fixation in the management of nonunion of intertrochanteric fracture of the femur.
MATERIALS AND METHODS
Between June 1995 and October 1999, 5 patients, ranging from 38 to 75 years of age, with nonunion of femoral intertrochanteric fracture, whose primary treatment had been done with compression hip screws, were treated with impacted cancellous allograft and valgus fixation
RESULTS
After follow-up from 13 months to 24 months, among the 5 cases, 4 cases resulted in the union in a mean time of 16 weeks, improvement of LLD in a mean length of 0.8cm and good function of abduction, but 1 case resulted in nonunion, followed by total hip arthroplasty.
CONCLUSION
For patients with nonunion of femoral intertrochanteric fracture, impacted cancellous allograft and valgus fixation provide a good result of union.
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