title: Complications and fixation techniques of trochanteric fractures with the TARGON(®) PF.
abstract: The purpose of this study was to analyse clinical results of elderly patients with trochanteric fractures that were treated with use of TARGON(®) PF nail. Overall, 494 patients (113 males) were available for this study. On the basis of Jensen classification, there were 76 cases in type I, 164 cases in type II, 70 in type III, 129 in type IV and 55 in type V. (1) Sliding amount of lag screw in relation to the Jensen classification, (2) sliding amount of lag screw according to the Ikuta's classification that categorises the reduction in lateral view in three, Subtype A, Subtype N and Subtype P, (3) sliding amount of lag screw in correlation between Jensen classification and Ikuta's classification and (4) postoperative complications (9 cases; 1.7%) were assessed. Cut-out and back-out cases were seen in 6 cases (1.1%), and these severe complications were evaluated in details. In correlation between Jensen classification and Ikuta's classification, the excessive sliding of lag screw was prominent with the Subtype P, which was preoperatively in Jensen type III or V. Cut-out or back-out cases were caused either from (1) Subtype P that were preoperatively Jensen types III or V, or from (2) the fracture where there was bony defect anteriorly. Therefore, special care must be taken for these types.
authors.affiliation: Department of Orthopaedic Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, Japan. Electronic address: n-takky@pg7.so-net.ne.jp.
authors.forename: Naohide
authors.initials: N
authors.lastname: Takigawa
authors.affiliation: Department of Orthopaedic Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, Japan.
authors.forename: Hiromitsu
authors.initials: H
authors.lastname: Moriuchi
authors.affiliation: Department of Orthopaedic Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, Japan.
authors.forename: Muneki
authors.initials: M
authors.lastname: Abe
authors.affiliation: Department of Orthopaedic Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Yasui
authors.affiliation: Department of Orthopaedic Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, Japan.
authors.forename: Hisako
authors.initials: H
authors.lastname: Eshiro
authors.affiliation: Department of Orthopaedic Surgery, Nishinomiya Kyoritsu Neurosurgical Hospital, Japan.
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Kinoshita
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000379:methods; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D020127:Recovery of Function; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D016138:Walking; D016474:Weight-Bearing
keywords: Complications; Reduction; TARGON(®) PF; Trochanteric fractures