The use of an Intramedullary Nail vs. Dynamic Hip Screw in the treatment of Intertrochantric fractures; a case cohort study
نویسنده
چکیده
Kerala Journal of Orthopaedics 2012;25:6-13 Introduction Surgical stabil isation of the intertrochanteric fracture is the optimal treatment today, except in patients with medical problems in whom surgery is contraindicated (1). The goal of surgery is to provide fracture stability to allow early mobilisation and some weightbearing. The introduction of the Dynamic Hip Screw was a quantum leap in the operative treatment of the same. Intramedullary fixation with the Gamma Nail (2) in the management of intertrochanteric fractures was introduced in the late 1980s. The biomechanical advantage that is frequently cited which is questionable with today’s materials is the decreased bending moment on an intramedullary implant compared to a side plate. However the Abstract Background: Intramedullary nails in the treatment of intertrochanteric fractures have become popular over the last two decades. The question is whether they have surpassed the dynamic hip screw in the treatment of these fractures.
منابع مشابه
Comparison and analysis of reoperations in two different treatment protocols for trochanteric hip fractures – postoperative technical complications with dynamic hip screw, intramedullary nail and Medoff sliding plate
BACKGROUND In treatment of unstable trochanteric fractures dynamic hip screw and Medoff sliding plate devices are designed to allow secondary fracture impaction, whereas intramedullary nails aim to maintain fracture alignment. Different treatment protocols are used by two similar Swedish regional emergency care hospitals. Dynamic hip screw is used for fractures considered as stable within the r...
متن کاملComparison of Intertrochanteric Fracture Fixation with Dynamic Hip Screw and Bipolar Hemiarthroplasty Techniques
Background: At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with dynamic hip screws (DHS) and bipolar hemiarthroplasty in elderly patients with background medical conditions. Methods: In this randomi...
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Background: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. Dynamic Hip Screw (DHS) is still considered the gold standard for treating intertrochanteric fractures by many. Not many studies compare the DHS with Proximal femoral nail (PFN), in Type II intertrochanteri...
متن کاملIs a sliding hip screw or im nail the preferred implant for intertrochanteric fracture fixation?
UNLABELLED This study was performed to determine whether patients who sustain an intertrochanteric fracture have better outcomes when stabilized using a sliding hip screw or an intramedullary nail. A 20% sample of Part A and B entitled Medicare beneficiaries 65 years or older was used to generate a cohort of patients who sustained intertrochanteric femur fractures between 1999 and 2001. Two fra...
متن کاملTRIGEN INTERTAN Intramedullary Nail Versus Sliding Hip Screw
Background: Both intramedullary nails and sliding hip screws are used with good results in the treatment of intertrochanteric and subtrochanteric fractures. The aim of our study was to assess whether use of the TRIGEN INTERTAN nail, as compared with a sliding hip screw, resulted in less postoperative pain, improved functional mobility, and reduced surgical complication rates for patients with a...
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