J Korean Orthop Assoc.  1975 Mar;10(1):101-107. 10.4055/jkoa.1975.10.1.101.

Clinical Study on Multiple Pinning of the Femoral Neck Fracture

• Moon YM
• Choi KS
• Byun YS
• Lee HK

• KMID: 2471452
• DOI: http://doi.org/10.4055/jkoa.1975.10.1.101

Abstract

20 cases of femoral neck fracture were treated with multiple pinning under image intensifier from June, 1972 to June, 1973. and presented at Department of Orthopedic Surgery, College of Medicine, Korea University. The results were following: 1. 11 cases (55%) were male and 9 cases (45%) of 20 cases were female. 70% of all cases were observed over 60 years of age group. 2. Site of fractures were predominantly 10-50%) in transcervical, 2(10%) in subcapital, 5 (25%) in base of neck and 3 (15%) in intertrochanteric region of the femoral neck. 3. The multiple pinnings were used with 4-7 of Knowles pins for internal fixation. 4. 19 cases of 20 cases were functionally and roentgenologically good results, 5. One case of 20 cases was observed a mild aseptic necrosis of the femoral head as complication in 18 months later of the surgery.

MeSH Terms

Clinical Study*
Female
Femoral Neck Fractures*
Femur Neck*
Head
Humans
Korea
Male
Neck
Necrosis
Orthopedics

Figure

• 

  Case. I. 1) pre-operative Α-P view 2) pre-operative lateral view 4) post-operative lateral view 5) l-g- years of post-operative Α-P view

• 

  Case. II. 1) Pre-operative Α-P view 3) Post-operative Α-P view 2) Pre-operative lateral view 4) Aseptic Necrosis of the femoral head, 18 months later of the surgery. (Α-P view) 5) Aseptic Necrosis of the femoral head, 18 months later of the surgery (lateral view) 6) Α-P view of Remove of the multiple pins

Reference

1.Anderson Lewis D.., Hamsa William R. Jr.., Waring Thomas L.Femoral-head prosthesis, A Remeto of three hundred and fifty six operations and fifty six operations and their residts, J. J. B.J.S. 46-A:1049. 1964.

2.Sarmiento Augusto., Williams Edward M.The unstable intertrochanteric fracture: Treatment with a valgus osteotomy and I-Beam Nail-plate,. J. B. J.S. 52-A:1309. 1970.

3.Bentley G. Impacted fractures of the Neck of the Femur,. J. B. J. S. 50-B:551. 1968.

4.Metz Charles W Jr.., Sellers Thomas D., John A. Feagin: The Displaced Intracapsular fracture of the neck of the Femur,. J.B.J.S. 52-A:113. 1970.

5.Crawford H. B.Conservative Treatment of impacted Fr atures of the Femoral neck, A Report of Fifty cases. J. B. J S. 42-A:417–479. April, 1960.

6.Deyerle W. M.Multiple-pin peripheral Fixation in Fractures of the neck of the Femur; Immediate Weight-hearing, Clin, Ortho. 39:135–156. 1965.

7.Fitts W. T.Life Expectancy after Frdctures of the Hip. Surg., Gynec., and Obstet. 108:7–12. 1959.

8.Frangakis E. K.Intracapsular fractures of the neck of the Femur,. J. B. I. S. 48-B:1730. Feb. 1966.

9.Kenneth G. Burton. Fratures of the femoral neck: Primary Treatment with a Smith-Petersen nail and Primary Autogenous-Bone graft,. J. J.B.J. S. 46-A:1659. Dec. 1964.

10.Max Scheck. Management of fracture of Femoral neck. J.B.J.S. 47-B:819–829. Jun. 1965.

11.May J.M.B.., Chacha P.B.Displacements of trochanteric fractures and their influencens on reduction,. J. B. J. S. 50-B:318. May. 1968.

12.Bonfiglio Michel. Aseptc Necrosis of the Femoral Head and Non-Union of the Femoral Neck,. J. B. J. S. 50-A:48–66. Jan. 1968.

13.田收. 整形外科卷. 22:25. 1971.

14.村正吉. 整形外科卷. 22:291. 1971.

15.김동석. ᄎ腿骨頸部및轉子間骨折治療에있어서Multiple pinning 關한小考, 대한정형외과학회잡지. Vol. 9(2):239, June. 1974.