Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults

Parker, MJ; Handoll, HHG

doi:10.1002/14651858.cd000093.pub3

Cited by 148 publications

(203 citation statements)

References 38 publications

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“…They conclude that the sliding hip screw is the implant of choice for extracapsular hip fractures, and propose further studies in particular on the best implant for subtrochanteric fractures. In 2005, Parker and Handoll [34] conclude that the DHS is superior for trochanteric fractures to intramedullary implants and propose further studies to determine if different types of intramedullary nail produce similar results, or if intramedullary nails have advantages for selected fracture types (for example, subtrochanteric fractures). Next, in 2006 Parker and Handoll [35] suggested that not only the different designs of intramedullary nails, but any other new design should be compared to the sliding hip screw as a gold standard.…”

Section: Discussionmentioning

confidence: 99%

Intramedullary Stabilization of Proximal Femoral Fractures

Hajdu

Vécsei

2007

Eur J Trauma Emerg Surg

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For nearly 40 years, extramedullary stabilization using the sliding hip screw and plate has been the standard fixation method for proximal femoral fractures. In patients with stable fractures, this device produces excellent results. However, in patients with unstable fractures, the sliding hip screw and plate is associated with an increased prevalence of complications, particularly cut-out, medialization of the shaft, shortening, and subsequent loss of reduction. For these reasons, there has been a sustained interest in the use of an intramedullary nail to treat proximal femoral fractures. However, intramedullary methods of therapy for trochanteric fractures require extensive operative experience. The incidence of complications, e.g. cut-out, femoral shaft fractures, and the learning curve has resulted in a loss off popularity of these devices in the past. The aim of this overview is to analyze and record the current standards by means of recent papers and to present the experience after intramedullary stabilization of more than 3,000 patients with proximal femoral fractures at our level I trauma center.

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Section: Discussionmentioning

confidence: 99%

Intramedullary Stabilization of Proximal Femoral Fractures

Hajdu

Vécsei

2007

Eur J Trauma Emerg Surg

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“…der Extensionsbehandlung überlegen ist. Aufgrund der häufig jedoch ausgeprägten Osteoporose, die sich neben der fehlerhaften Reposition als Hauptgrund für Versager in beiden Operationsverfahren herauskristallisiert hat, ist die Rate an Revisionsoperationen nichtunerheblich [19,64]. So kommt es laut Literatur in 12-32 % der Fälle zum revisionspflichtigen Versagen der Osteosynthese [17, 23].…”

Section: Primärer Endoprothetischer Ersatz Bei Instabilen Pertrochantunclassified

Pertrochantäre Femurfrakturen beim geriatrischen Patienten

Sandmann

Biberthaler

2015

Unfallchirurg

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Pertrochanteric fractures are one of the most common injuries in the elderly and due to the demographic changes the incidence and importance of this fracture entity will even increase in the future. The dynamic hip screw (DHS) has been used as the gold standard implant in the treatment of pertrochanteric femoral fractures for many years but recent studies have shown that cephalomedullary nails have some advantages. Due to the high incidence, operative treatment of these fractures is part of the standard repertoire of trauma surgeons and this article therefore provides an overview of existing knowledge and new trends in the treatment of pertrochanteric femoral fractures.

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“…These fractures, in general, should be treated with an intramedullary nail because of the more favorable biomechanical properties of a nail. However, in particular, it remains unclear which device to implant when fixing a pertrochanteric fracture [38,39]. Younger surgeons finishing training have been to shown to use the trochanteric entry nail as a primary device [40].…”

Section: Hip Fractures and Controversiesmentioning

confidence: 99%

Recent aspects on outcomes in geriatric fracture patients

et al. 2010

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As the population ages, the number of fragility fractures is expected to increase dramatically. These injuries are frequently associated with less than satisfactory outcomes. Many of the patients experience adverse events or death, and few regain their pre-injury functional status. Many also lose their independence as a result of their fracture. This manuscript will explore problems and some potential solutions to evaluate the outcomes of geriatric fracture care. Specific, system-wide, and societal concerns will be discussed. Limited suggestions will be made for future steps to improve outcomes assessments.

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Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults

Cited by 148 publications

References 38 publications

Intramedullary Stabilization of Proximal Femoral Fractures

Intramedullary Stabilization of Proximal Femoral Fractures

Pertrochantäre Femurfrakturen beim geriatrischen Patienten

Recent aspects on outcomes in geriatric fracture patients

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