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전자하부 골절의 골수강내 금속정 고정술 중 부정정렬 교정 - 수술 술기 -

Subtrochanteric Fracture Reduction during Intramedullary Nailing: Technical Note

대한골절학회지 2019년 32권 2호 p.107 ~ 111
공규민,
소속 상세정보
공규민 ( Kong Gyu-Min ) - 인제대학교 해운대백병원 정형외과

Abstract


The subtrochanteric area is the place where mechanical stress is most concentrated in the femur. When a fracture happens, bone union is delayed and nonunion often occurs. The recommended treatment for atypical fractures is an anatomical reduction of the fracture site as the frequency of nonunion is higher than that of ordinary fractures. Various reduction methods have been suggested, and good results have been obtained. On the other hand, the occurrence of posterior displacement of the distal fragment during the insertion of an intramedullary nail is often overlooked. This is probably because the bone marrow of the femur tends to form an elliptical shape in the anteroposterior direction. The author attempted to insert a blocking screw into the distal part of the fracture to prevent posterior displacement of the distal fragment while performing intramedullary nailing of the femur fracture and achieved a good reduction state easily.

키워드

Blocking screw; Intramedullary nail; Subtrochanteric fracture

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