Mini-invasive nail versus DHS to fix pertrochanteric fractures: A case-control study

Foulongne, E.; Gilleron, Matthieu; Roussignol, X.; Lenoble, E.; Dujardin, F.

doi:10.1016/j.otsr.2009.08.007

Cited by 20 publications

(17 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The literature comparing blood loss in intertrochanteric hip fractures treated with intramedullary nail or DHS is inconclusive. Authors have reported reduced blood loss, [25][26][27] increased blood loss 28 and no difference 29,30 in patients with intertrochanteric fractures treated with an intramedullary nail. The variability among studies may be related to differences in fracture severity, as patients with more displaced fractures are generally more likely to be treated with an intramedullary device.…”

Section: Discussionmentioning

confidence: 99%

Factors affecting transfusion requirement after hip fracture: Can we reduce the need for blood?

et al. 2014

View full text Add to dashboard Cite

Background: Hip fractures are common injuries that result in blood loss and frequently require the transfusion of blood products. We sought to identify risk factors leading to increased blood transfusion in patients presenting with hip fractures, especially those factors that are modifiable. Methods:We retrospectively reviewed the cases of all patients who had fixation of their hip fractures between October 2005 and February 2010. The need for transfusion was correlated with potential risk factors, including age, sex, preoperative hemoglobin, fracture type, fixation method and more.Results: A total of 835 patients had fixation of their hip fractures during the study period; 631 met the inclusion criteria and 249 of them (39.5%) were transfused. We found an association between need for blood transfusion and female sex (p = 0.018), lower preoperative hemoglobin (p < 0.001), fracture type (p < 0.001) and fixation method (p < 0.001). Compared with femoral neck fractures, there was a 2.37 times greater risk of blood transfusion in patients with intertrochanteric fractures (p < 0.001) and a 4.03 times greater risk in those with subtrochanteric fractures (p < 0.001). Dynamic hip screw (DHS) fixation decreased the risk of transfusion by about half compared with intramedullary nail or hemiarthroplasty. We found no association with age, delay to operation (p = 0.17) or duration of surgery (p = 0.30). Conclusion:The only modifiable risk factor identified was fixation method. When considering blood transfusion requirements in isolation, we suggest a potential benefit in using a DHS for intertrochanteric and femoral neck fractures amenable to DHS fixation.Contexte : La fracture de la hanche est un traumatisme fréquent, qui cause une perte sanguine et nécessite souvent la transfusion de produits sanguins. Nous avons tenté d'identifier les facteurs de risque associés à une hausse du nombre des transfusions sanguines chez des patients ayant subi une fracture de la hanche, en particulier les facteurs modifiables.Méthodes : Au cours d'une étude rétrospective, on a revu les cas de tous les patients chez qui on avait pratiqué une ostéosynthèse pour une fracture de la hanche survenue entre octobre 2005 et février 2010. La nécessité d'une transfusion sanguine a été associée à d'éventuels facteurs de risque, dont l'âge, le sexe, le taux d'hémoglobine préopéra-toire, le type de fracture, la technique d'ostéosynthèse, et d'autres facteurs encore.Résultats : Au total, 835 patients avaient subi une ostéosynthèse pour fracture de la hanche au cours de la période à l'étude; 631 satisfaisaient les critères d'inclusion à l'étude et parmi eux, 249 (39,5 %) ont reçu une transfusion sanguine. On a observé l'existence d'un lien entre la nécessité d'une transfusion sanguine et le sexe féminin (p = 0,018), une plus faible concentration d'hémoglobine préopératoire (p < 0,001), le type de fracture (p < 0,001) et la technique d'ostéosynthèse (p < 0,001). Par rapport aux fractures du col fémoral, le risque de transfusion sanguine était 2,37 fois plus é...

show abstract

Section: Discussionmentioning

confidence: 99%

Factors affecting transfusion requirement after hip fracture: Can we reduce the need for blood?

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Similar percutaneous compressing plate systems have been compared with DHS for treatment of intertrochanteric fracture that showed good stability and healing rates [20]. Meta-analysis by Ma et al [21] also demonstrated the advantages of a similar system with respect to operation time, blood loss and cardiovascular event but not in functional outcome compared with DHS system.…”

Section: Discussionmentioning

confidence: 99%

A comparison of proximal femoral locking compression plates with dynamic hip screws in extracapsular femoral fractures

Zhong¹,

Zhang

Zhang³

et al. 2014

Orthopaedics & Traumatology: Surgery & Research

View full text Add to dashboard Cite

show abstract

“…There are many studies comparing the outcomes of the PFNA and DHS for peritrochanteric fractures, but there is obvious inconsistency of effects across those studies and the optimal management of peritrochanteric fractures remained controversial [8][9][10][18][19][20][21][22][23][24][25][26][27][28][29][30][31]. Thus, to provide the most comprehensive assessment of the PFNA and DHS for peritrochanteric fractures, we performed this meta-analysis by including five randomized controlled trials.…”

Section: Discussionmentioning

confidence: 99%

“…Established surgical options for peritrochanteric fractures mainly include DHS, Gamma nail, and proximal femoral nail, but the optimal treatment choice continues to be highly debated [30,31,[33][34][35][36]. The PFNA is an intramedullary device with a helical blade rather than a screw for better purchase in the femoral head and has been adopted for patients with unstable peritrochanteric fractures [5][6][7].…”

Section: Discussionmentioning

confidence: 99%

Antirotation proximal femoral nail versus dynamic hip screw for intertrochanteric fractures: A meta-analysis of randomized controlled studies

Shen

Zhang

Shen

et al. 2013

Orthopaedics & Traumatology: Surgery & Research

View full text Add to dashboard Cite

show abstract

Mini-invasive nail versus DHS to fix pertrochanteric fractures: A case-control study

Cited by 20 publications

References 27 publications

Factors affecting transfusion requirement after hip fracture: Can we reduce the need for blood?

Factors affecting transfusion requirement after hip fracture: Can we reduce the need for blood?

A comparison of proximal femoral locking compression plates with dynamic hip screws in extracapsular femoral fractures

Antirotation proximal femoral nail versus dynamic hip screw for intertrochanteric fractures: A meta-analysis of randomized controlled studies

Contact Info

Product

Resources

About