大腿骨頚部転子部・転子下骨折に対するＤＹＡＸ（チタン性Ｇａｍｍａ　ｎａｉｌ）の使用経験

• 宮崎 正志

  三愛病院整形外科

• 高木 一広

  三愛病院整形外科

書誌事項

タイトル別名

• Treatment of Trochanteric and Subtrochanteric Fractures with DYAX (Titanium gamma nail)

抄録

The Gamma nail is used for the treatment of trochanteric and subtrochanteric fractures because it pravides the theoretical advantage of a load-sharing femoral component. We report the postoperative results of DYAX-A (titanium gamma nail) for trochanteric and subtrochanteric fractures in 24 cases from October 2002 to July 2003 and results of comparison between reamed nailing and unreamed nailing.<BR>We found no difference in blood loss, postoperative patients' mobility, and fracture union. But operating time were shorter in the unreamed nailing cases,in which the one step conical reamer was used. The unreamed procedure is useful, especially when shorter operative time and less blood loss is desired.<BR>There were few operative and postoperative complications, but cut-out occurred in one case. To avoid cut-out, it is necessary to master the appropriate surgical techniques and insert the lag screw in an appropriate position.

収録刊行物

• 整形外科と災害外科

  整形外科と災害外科 53 (3), 640-644, 2004

  西日本整形・災害外科学会

キーワード

• 大腿骨転子部・転子下骨折
• ガンマネイル
• 手術手技

詳細情報

• CRID: 1390282679915085824
• NII論文ID: 130004460313
• NII論文ID: 10013597750
• NII書誌ID: AN00126582
• DOI: 10.5035/nishiseisai.53.640
• ISSN: 13494333
• ISSN: 00371033
• Web Site: https://search.jamas.or.jp/link/ui/2005025698
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可