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Radiographic Analysis of Preoperative and Postoperative 3DCT Images of Trochanteric Femoral Fractures
https://showa.repo.nii.ac.jp/records/596
https://showa.repo.nii.ac.jp/records/596e42234ba-6712-470f-bd25-eedca900a907
名前 / ファイル | ライセンス | アクション |
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S26_271.pdf (653.6 kB)
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Item type | 学内発行雑誌 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2015-11-20 | |||||
タイトル | ||||||
タイトル | Radiographic Analysis of Preoperative and Postoperative 3DCT Images of Trochanteric Femoral Fractures | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ | departmental bulletin paper | |||||
著者 |
ITO, Ryota
× ITO, Ryota× OBARA, Shu× ATSUMI, Takashi |
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書誌情報 |
The Showa University journal of medical sciences 巻 26, 号 4, p. 271-282, 発行日 2014-09 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The present study compared a 3-dimensional computed tomography (3DCT) classification (Nakano classification) with conventional x-ray classifications (Jensen classification and AO classification) in 44 patients with trochanteric femoral fractures, and evaluated the patterns of fracture lines using 3DCT images. The concordance rate between the Jensen and 3DCT classification, and between the AO and 3DCT classification was 65.9% and 75.0%, respectively. 3DCT scans enabled the creation of detailed images of fracture lines. The anterior fracture line was found to run along the intertrochanteric crest in 90.9% of patients, while the location of the posterior fracture line was in the same approximate position in all patients, including those with comminuted fractures (34.1%). Posterior destruction along lateral fracture lines was present in 63.6% of patients. Furthermore, the preoperative and postoperative CT images of 33 patients with fractures treated via insertion of short femoral nails demonstrated that there was difficulty reducing greater trochanteric fractures. This included reducing fracture sites separated by nail insertion (42.4%) and greater trochanteric fracture sites displaced after surgery (54.5%), suggesting that the use of short femoral nails is limited. | |||||
DOI | ||||||
関連識別子 | 10.15369/sujms.26.271 | |||||
出版者 | ||||||
出版者 | Showa University Society | |||||
ISSN | ||||||
収録物識別子 | 0915-6380 | |||||
著者版フラグ | ||||||
出版タイプ | VoR |