Comparison of outcomes after different methods of fixation for extracapsular hip fractures: An observational study
Injury Feb 23, 2021
Dunne M, Kursumovic K, Fisher R, et al. - This study was undertaken to explore functional outcomes in patients who have undergone either sliding hip screw fixation or intramedullary fixation using varied lengths of nails to assess potential superiority. Between January 2010 - July 2019, researchers retrospectively examined data from consecutive patients with trochanteric hip fractures. They conducted fracture fixation with four different devices; sliding hip screws, 220mm and 175mm Targon PFT nails, or 180mm Short Affixus Hip Fracture Nails. No significant variation was found in the patient demographics in each treatment group. They suggest caution in interpreting the outcomes of studies between different nails and sliding hip screws, as not all nails seem to be the same. The outcomes demonstrated that the design features of modern nails such as length, proximal diameter, the use of a compression screw, lag screw interface within the nail, and valgus inclination may all play a role in functional outcomes.
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