Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures

One hundred thirty-one patients (135 fractures) who sustained an intertrochanteric fracture were assigned randomly to treatment with either a sliding hip screw or an intramedullary hip screw and followed up prospectively. In patients with unstable intertrochanteric fractures, the intramedullary devi...

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Bibliographic Details
Published inClinical orthopaedics and related research no. 348; p. 87
Main Authors Baumgaertner, M R, Curtin, S L, Lindskog, D M
Format Journal Article
LanguageEnglish
Published United States 01.03.1998
Subjects
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Blood Loss, Surgical
Bone Plates
Bone Screws
Chi-Square Distribution
Equipment Design
Female
Fluoroscopy
Follow-Up Studies
Fracture Fixation, Internal - adverse effects
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Fracture Fixation, Intramedullary - adverse effects
Fracture Fixation, Intramedullary - instrumentation
Fracture Fixation, Intramedullary - methods
Hip Fractures - surgery
Humans
Intraoperative Complications
Male
Middle Aged
Prospective Studies
Radiography, Interventional
Time Factors
Treatment Outcome
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Summary:One hundred thirty-one patients (135 fractures) who sustained an intertrochanteric fracture were assigned randomly to treatment with either a sliding hip screw or an intramedullary hip screw and followed up prospectively. In patients with unstable intertrochanteric fractures, the intramedullary device was associated with 23% less surgical time and 44% less blood loss; however, use of the intramedullary hip screw in patients who had a stable fracture pattern required 70% greater fluoroscopic time. Intraoperative complications occurred exclusively in patients in the intramedullary hip screw group. There were no differences in the rates of functional recovery between the two fixation groups.
ISSN:0009-921X
DOI:10.1097/00003086-199803000-00015