Comparison of clinical outcomes with three different intramedullary nailing devices in treatment of unstable trochanteric fractures

Zehir, Sinan; Şahin, Ercan; Zehi̇r, Regayip

doi:10.5505/tjtes.2015.28227

Cited by 38 publications

(75 citation statements)

References 15 publications

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“…The mean duration of surgery for InterTan intramedullary nail in the late group of patients was 64.97 (95% CI 59.59 to 70.36) min, similar to the operative time reported in earlier research that ranged from 48 to 73.91 min [4, 5, 15, 18–20], excluding one study that reported an average time that was less than 30 minutes [21]. These studies also reported that the mean operative time for GN, PFNA, or PFNA-II treatments [4, 5, 15, 18–20] was 44.41–72.98 minutes.…”

Section: Discussionsupporting

confidence: 83%

“…These studies also reported that the mean operative time for GN, PFNA, or PFNA-II treatments [4, 5, 15, 18–20] was 44.41–72.98 minutes. Of these, two studies reported that there was no significant difference in the operative time between the InterTan intramedullary nail (IT) group and the GN or PFNA group [15, 20].…”

Section: Discussionmentioning

confidence: 91%

“…However, intramedullary nailing has improved biomechanical features compared to SHS, and many surgeons would likely select intramedullary devices for the treatment of femoral intertrochanteric fractures [2]. The TRIGEN INTERTAN Intertrochanteric Antegrade nail (Smith & Nephew, Memphis, TN) was introduced in 2005 and increases intertrochanteric rotational stability [3] and decreases lag screw cutout [4, 5]. …”

Section: Introductionmentioning

confidence: 99%

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Learning Curve and Clinical Outcomes of Performing Surgery with the InterTan Intramedullary Nail in Treating Femoral Intertrochanteric Fractures

Zhang

Wang

et al. 2017

BioMed Research International

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Purpose. The purpose of this study is to evaluate the learning curve of performing surgery with the InterTan intramedullary nail in treating femoral intertrochanteric fractures, to provide valuable information and experience for surgeons who decide to learn a new procedure. Methods. We retrospectively analyzed data from 53 patients who underwent surgery using an InterTan intramedullary nail at our hospital between July 2012 and September 2015. The negative exponential curve-fit regression analysis was used to evaluate the learning curve. According to 90% learning milestone, patients were divided into two group, and the outcomes were compared. Results. The mean operative time was 69.28 (95% CI 64.57 to 74.00) minutes; with the accumulation of surgical experience, the operation time was gradually decreased. 90% of the potential improvement was expected after 18 cases. In terms of operative time, intraoperative blood loss, hospital stay, and Harris hip score significant differences were found between two groups (p = 0.009, p = 0.000, p = 0.030, and p = 0.002, resp.). Partial weight bearing time, fracture union time, tip apex distance, and the number of blood transfusions and complications were similar between two groups (p > 0.5). Conclusion. This study demonstrated that the learning curve of performing surgery with the InterTan intramedullary nail is acceptable and 90% of the expert's proficiency level is achieved at around 18 cases.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Learning Curve and Clinical Outcomes of Performing Surgery with the InterTan Intramedullary Nail in Treating Femoral Intertrochanteric Fractures

Zhang

Wang

et al. 2017

BioMed Research International

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“…In a biomechanical study of hip compression screw with deployable talons, Bramlet and Wheeler [3] reported that talon deployment significantly improved the interfragment torsion and compression strength. Furthermore, Zehir et al [4] reported lower cut-out rates and shorter operative times with talon distal fix/lag screw proximal femoral nail when compared to other proximal femoral nail types.…”

Section: öZmentioning

confidence: 99%

Is talon tibial intramedullary nailing clinically superior compared to conventional locked nailing?

Çamurcu

Sofu

Issın

et al. 2017

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu çalışmada talon tibial intramedüller (İM) çivilemenin sonuçları ile konvansiyonel distal kilitli tibial İM çivilemenin sonuçları karşılaştırıldı. Hastalar ve yöntemler: Çalışmaya Ocak 2013 -Ocak 2016 tarihleri arasında tek taraflı, kapalı veya açık (Gustilo-Anderson tip 1) tibia diyafiz kırığı (Ortopedik Travma Birliği 42) tanısı ile tibial İM çivileme yapılan 60 hasta (37 erkek, 23 kadın; ort. yaş 42.2 yıl; dağılım 18-92 yıl) dahil edildi. Hastalar talon tibial İM çivileme grubu (grup 1, n=30) ve distal kilitli tibial İM çivileme grubu (grup 2, n=30) olmak üzere iki gruba ayrıldı. Tüm hastaların ameliyat ve toplam radyasyona maruz kalma süreleri kaydedildi. Son kontrolde, Amerikan Ortopedik Ayak ve Ayak Bileği Derneği ve Tegner Lysholm skorları klinik sonuçlar açısından değerlendirildi. Tüm komplikasyonlar kaydedildi. Bulgular: Ortalama ameliyat süresi grup 1'de 43.8 dakika, grup 2'de 50.2 dakika idi. Grup 1'de ortalama radyasyona maruz kalma süresi 5.4 dakika idi ve bu süre 17.5 dakika olan grup 2'nin süresinden üç kat daha kısa idi. Kaynamaya kadar geçen ortalama süre, grup 1'de 16.9 hafta ve grup 2'de 12.2 hafta idi. Ameliyat, radyasyona maruz kalma ve kaynama sürelerinde iki grup arasında istatistiksel olarak anlamlı farklılıklar vardı (sırasıyla p= 0.009, p= 0.001, p= 0.001). Amerikan Ortopedik Ayak ve Ayak Bileği Derneği ve Tegner Lysholm skorları karşılaştırıldığında, istatistiksel olarak anlamlı farklılık yoktu (p= 0.951 ve p= 0.896). Sonuç: Talon tibial İM çivileme, daha kısa ameliyat ve radyasyona maruz kalma süreleri ile konvansiyonel distal kilitli tibial İM çivilemenin daha kolay ve güvenilir bir alternatifidir. Bununla birlikte, radyografik kaynamaya kadar geçen sürenin konvansiyonel tibial İM çivilemeye kıyasla daha uzun olabileceği akılda tutulmalıdır.

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“…All fractures were reduced by closed means. Standard operative techniques, which are recommended by the manufacturer and have been described in detail in instruction manuals or earlier studies [19,20] were used. All patients received a prophylactic dose of an intravenous antibiotic.…”

Section: Methodsmentioning

confidence: 99%

Choice of implant in stable intertrochanteric fracture femur: PFNA vs DHS

Rathva¹,

Patel²,

Patel³

et al. 2018

Int. J. Orthop. Sci.

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Introduction:The best treatment for trochanteric fracture remains controversial Many methods have been recommended. Stable fixation that allows early mobilization is the treatment of choice. In this study, we aimed to compare the results of osteosynthesis using the PFNA and DHS system, in the treatment of stable intertrochanteric fractures including operative and postoperative complications, general complications and final outcome measurements. Method: We randomised 60 patients with low-energy extracapsular pertrochanteric stable femoral fractures (AO category 31-A1.1-31A.2.1)7 to be treated with the dynamic hip screw or the proximal femoral nail A2. All fractures were categorised according to the AO/ASIF classification. Follow-up reviews were undertaken at four weeks, three and six months post-operatively using Harris hip score. Results: From the first to the 6 th month, there was a significant improvement in Harris hip score (p<0.05), when each time point was compared with the previous one in both groups. On 3 -month followup, PFNA2 group had significantly better daily functioning than DHS group, as defined by Harris hip score. At 6 months, the PFNA2 group approached but did not normalise to its pre-operative Harris hip screw values (p =0.043). In contrast, DHS group values at 6 months lagged significantly to pre-operative values (p<0.001) PFNA group has fewer complications compared to DHS group. Conclusion: PFNA can benefit peritrochaneric fractures with less blood loss, earlier mobilization, better functional outcome and fewer complication compared to DHS.

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Comparison of clinical outcomes with three different intramedullary nailing devices in treatment of unstable trochanteric fractures

Abstract: BACKGROUND:The aim of this study was toreport our experience regarding the use of three different methods for intramedullary nailing in the treatment of intertrochanteric fractures.

Cited by 38 publications

References 15 publications

Learning Curve and Clinical Outcomes of Performing Surgery with the InterTan Intramedullary Nail in Treating Femoral Intertrochanteric Fractures

Learning Curve and Clinical Outcomes of Performing Surgery with the InterTan Intramedullary Nail in Treating Femoral Intertrochanteric Fractures

Is talon tibial intramedullary nailing clinically superior compared to conventional locked nailing?

Choice of implant in stable intertrochanteric fracture femur: PFNA vs DHS

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