New Method of the Ostheosynthesis for Fracture of Femoral Neck with K-U Compression Blade Plate

概要

論文の詳細を見る
Nowadays, medullary fixation of fracture of femoral neck by use of Smith-Petersen nail, Küntscher nail, screw, peg or pins has been an ordinary procedure.A new method of internal fixation of this fracture by K-U compression blade plate has been devised in our clinic.The K-U blade plate consists of two parts; one is the part of plate with pre-bent curve to conform to neck-shaft angle of the femur and the other is the part of blade with 2 blades that are proximal to the part of plate and flexed posteriorly at angle of 150°.The technique of internal fixation by K-U compression blade plate: At first, set the blade plate on the anterior surface of femur and then insert the blades into proximal fragment of femoral neck.In subcapital fracture, the blades must be inserted into the marginal part of articular cartilage of femoral head.Secondly, insert a cancellous screw into distal fragment through a "sliding groove" which is holed at the curved part of the plate and make compression force, so that both fragments may be compressed and fixed each other. Then, insert another cancellous screw into a inclined hole which is near the base of two blades and directed toward the centre of femoral head.Finally, insert screws into the femoral shaft through the round holes on the longitudinal part of the plate and satisfactory fixation will be obtained.
西日本整形・災害外科学会の論文