One and two femoral neck screws with intramedullary nails for unstable trochanteric fractures of femur in the elderly—Randomised clinical trial

Vidyadhara, S; Rao, Sharath K.

doi:10.1016/j.injury.2006.08.050

Cited by 41 publications

(20 citation statements)

References 17 publications

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“…Sixteen trials (n = 1467), consisting of 10 comparisons, reported functional status by 6 scores, including Parker-and-Palmer mobility score, Harris hip score, Jensen social-function score, Merle d’aubigne hip score, Geriatric hip fracture recovery scores, and Barthei index 17 19 21 22 23 24 25 26 27 28 29 30 31 32 . Ten studies provided the baseline and follow up date, all of which showed that functional scores decreased at the end of follow up 17 22 23 24 26 27 29 30 33 34 .…”

Section: Resultsmentioning

confidence: 99%

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Internal fixation treatments for intertrochanteric fracture: a systematic review and meta-analysis of randomized evidence

Zhang

et al. 2015

Sci Rep

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The relative effects of internal fixation strategies for intertrochanteric fracture after operation remain uncertain. We conducted a systematic review and meta-analysis of randomized controlled trials (RCTs) to address this important issue. We searched PubMed, EMBASE and CENTRAL for RCTs that compared different internal fixation implants in patients with intertrochanteric fracture at 6-month follow-up or longer. We ultimately included 43 trials enrolling 6911 patients; most trials were small in sample sizes and events. Their risk of bias was generally unclear due to insufficient reporting. Because of these, no statistically significant differences were present from most of the comparisons across all the outcomes, and no definitive conclusions can be made. However, a number of trials compared two commonly used internal fixation strategies, gamma nail (GN) and sliding hip screw (SHS). There is good evidence suggesting that, compared to SHS, GN may increase the risk of cut out (OR = 1.87, 95% CI, 1.08 to 3.21), re-operation (OR = 1.61, 95% CI, 1.02 to 2.53), intra-operative (OR = 3.14, 95% CI, 1.34 to 7.35) and later fractures (OR = 3.67, 95% CI, 1.37 to 9.83). Future randomized trials or observational studies that are carefully designed and conducted are warranted to establish the effects of alternative internal fixation strategies for intertrochanteric fracture.

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Section: Resultsmentioning

confidence: 99%

“…Twenty-nine trials (n = 3960) 13 14 15 16 17 18 19 21 22 23 24 25 26 28 34 35 36 37 41 42 44 46 47 48 49 52 54 55 56 reported cut out data. Of those trials, 5 reported no event during the course of study (6–40 months) 17 26 30 38 57 .…”

Section: Resultsmentioning

confidence: 99%

Internal fixation treatments for intertrochanteric fracture: a systematic review and meta-analysis of randomized evidence

Zhang

et al. 2015

Sci Rep

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“…Reverse LISS was used in a similar way described by Ma H et al [2]. The quality of reduction was graded as good, acceptable (5–10° varus/valgus and/or anteversion/retroversion), or poor (>10° varus/valgus and/or anteversion/retroversion) [12]. Fractures were judged to be healed radiographically if bridging callus was evident on three of four cortices as seen on two views [13].…”

Section: Methodsmentioning

confidence: 99%

Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs

Tao

et al. 2013

The Scientific World Journal

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Objective. To compare two internal fixation devices clinically in stabilisation of intertrochanteric femur fractures. Methods. Eighty-seven patients were randomised upon their admission to the hospital using a sealed envelope method. Forty-five were treated with proximal femur nail antirotation (PFNA) and 42 with reverse less invasive stabilisation system (LISS). The perioperative data were recorded and compared in relation to fracture type. Results. In each type of fractures, no significant differences were found with respect to the blood loss, the quality of reduction, the time to bony healing, and the Harris hip score between the 2 groups. The mean duration of surgery was significantly longer in reverse LISS group than in PFNA group. Conclusion. Both the PFNA and the reversed LISS are effective in the treatment of different types of intertrochanteric femur fractures. PFNA is superior to reverse LISS in terms of surgical time, weight-bearing, and perhaps fluoroscopy time.

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“…compared to that of the single screw construct[9]. Functional results using Harris Hip Score in the present study were better in closed techniques of reduction as compared to open one and intramedullary as compared to extramedullary devices.…”

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confidence: 40%

To compare the clinicoradiological outcome of various operative techniques and fixation devices in treatment of subtrochanteric fractures

Pandey¹,

Chaurasia

2019

Int J Surg Ortho

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Background: There are various operative techniques and fixation devices in treatment of subtrochanteric fractures. The objective of treatment is restoration of optimal functions in the shortest possible time by the safest and most dependable method of treatment. Aim: To compare the clinicoradiological outcome of various operative techniques and fixation devices in treatment of subtrochanteric fractures and its variants. To compare the efficacy of various operative techniques in management of subtrochanteric fractures and its variants. To assess efficiency of various fixation devices in different (A-O) types of subtrochanteric fractrues and to compare our results with those available in literature. Methods: This prospective study was conducted in department of orthopedic surgery, in a span of two years. 38 Cases of subtrochanteric fractures and two types of extensions of subtrochanteric fractures admitted in orthopedics wards and treated by various operative methods were included in the study. Results: Malunion was seen in 3 cases and infection in 2 cases. Excellent and good results were seen in most of the cases fixed with intramedullary devices 35% & 39% respectively) and these using closed techniques (38% & 43% respectively). Majority of excellent result (52%) were seen in cases fixed with Proximal Femoral Nail. Most of the cases fixed using Dynamic Condylar Screw and Dynamic Hip Screw had fair to good results. Conclusion: Successful management of a case of subtrochanteric fracture is an exercise in balancing mechanical and biological consideration in maximize the likelihood of rapid healing and full restoration of function with minimal risk of complications at the least cost to the patient and society

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One and two femoral neck screws with intramedullary nails for unstable trochanteric fractures of femur in the elderly—Randomised clinical trial

Cited by 41 publications

References 17 publications

Internal fixation treatments for intertrochanteric fracture: a systematic review and meta-analysis of randomized evidence

Internal fixation treatments for intertrochanteric fracture: a systematic review and meta-analysis of randomized evidence

Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs

To compare the clinicoradiological outcome of various operative techniques and fixation devices in treatment of subtrochanteric fractures

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