scholarly journals Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review

2021 ◽  
Vol 7 (1) ◽  
pp. FSO668
Author(s):  
Akshay Date ◽  
Mrinalini Panthula ◽  
Anita Bolina

Intertrochanteric fractures, accountable for 50% of hip fractures, can be fixed with cephalomedullary devices such as Proximal Femoral Nail Antirotation (PFNA™), Gamma3 nailing system and TRIGEN™ InterTAN™ nail (IT). IT uniquely uses two cephalocervical screws that allow for linear compression and provide additional resistance to femoral head rotation. A literature review assessing clinical outcomes of these devices was conducted, with 14 studies enrolling 3104 patients meeting the inclusion criteria. PFNA and Gamma3 had better intraoperative outcomes compared with IT; however, IT had superior implant-related outcomes of cut-out and screw migration. No difference was found between IT and PFNA or Gamma3 in Harris Hip Scores, time to union, malunion and nonunion. Further long-term studies are needed to evaluate clinical outcomes and cost–effectiveness of cephalomedullary devices.

2017 ◽  
Vol 10 (5) ◽  
pp. 446-450 ◽  
Author(s):  
Guilherme Dabus ◽  
Waleed Brinjikji ◽  
Arun P Amar ◽  
Josser E Delgado Almandoz ◽  
Orlando M Diaz ◽  
...  

Background and purposeGEL THE NEC (GTN) was a multicenter prospective registry developed to assess the safety and efficacy of HydroSoft coils in treating intracranial aneurysms. We compared the angiographic and clinical outcomes of aneurysms treated with balloon assisted coil embolization (BACE) versus unassisted coil embolization (CE) in the ruptured aneurysm cohort.Materials and methodsGTN was performed at 27 centers in five countries. Patients aged 21–90 years with a ruptured aneurysm 3–15 mm in size were eligible for enrollment. We analyzed demographics/comorbidities, aneurysm location, and geometry, including maximum diameter, neck size, and dome to neck ratio, immediate and long term angiographic outcomes (graded by an independent core laboratory using the modified Raymond Scale), and procedure related adverse events. Angiographic and clinical outcomes were studied using χ2and t tests.ResultsOf the 599 patients in the GTN, 194 met the inclusion criteria. 84 were treated with BACE and 110 with CE. There were more prior smokers in the BACE group (p=0.01). The BACE group also had more vertebrobasilar aneurysms (p=0.006) and a larger mean neck size (p=0.02). More aneurysms were immediately completely occluded in the BACE group (p=0.02) Procedure- related major morbidity and mortality were no different between the techniques (p=0.4 and p=1, respectively).ConclusionsIn this prospective ruptured aneurysm cohort from the GTN, BACE resulted in greater occlusion rates compared with unassisted CE with similar morbi-mortality.


2008 ◽  
Author(s):  
Lawrence J. Schweinhart ◽  
Elena V. Malofeeva ◽  
Lawrence J. Schweinhart ◽  
Michelle M. Englund ◽  
Arthur J. Reynolds ◽  
...  

Phlebologie ◽  
2010 ◽  
Vol 39 (03) ◽  
pp. 133-137
Author(s):  
H. Partsch

SummaryBackground: Compression stockings are widely used in patients with varicose veins. Methods: Based on published literature three main points are discussed: 1. the rationale of compression therapy in primary varicose veins, 2. the prescription of compression stockings in daily practice, 3. studies required in the future. Results: The main objective of prescribing compression stockings for patients with varicose veins is to improve subjective leg complaints and to prevent swelling after sitting and standing. No convincing data are available concerning prevention of progression or of complications. In daily practice varicose veins are the most common indication to prescribe compression stockings. The compliance depends on the severity of the disorder and is rather poor in less severe stages. Long-term studies are needed to proof the cost-effectiveness of compression stockings concerning subjective symptoms and objective signs of varicose veins adjusted to their clinical severity. Conclusion: Compression stockings in primary varicose veins are able to improve leg complaints and to prevent swelling.


Author(s):  
Yelena I. Polyakova ◽  
Yekaterina I. Novichkova ◽  
Tatiana S. Klyuvitkina ◽  
Elizaveta A. Agafonova ◽  
Irina M. Kryukova

Presented the results of long-term studies of diatoms and aquatic palynomorphs in surface sediments of the Arctic seas and the possibility of their use for the reconstructions of paleocirculation water masses, advection of Atlantic and Bering sea water into the Arctic ocean, changes in the river runoff to the seas, sedimentary processes in the marginal filter of the largest rivers, seasonal sea ice cover and other hydrological parameters.


2019 ◽  
Vol 10 (1) ◽  
pp. 21-28
Author(s):  
Aniela Bălăcescu ◽  
Radu Șerban Zaharia

Abstract Tourist services represent a category of services in which the inseparability of production and consumption, the inability to be storable, the immateriality, and last but not least non-durability, induces in tourism management a number of peculiarities and difficulties. Under these circumstances the development of medium-term strategies involves long-term studies regarding on the one hand the developments and characteristics of the demand, and on the other hand the tourist potential analysis at regional and local level. Although in the past 20 years there has been tremendous growth of on-line booking made by household users, the tour operators agencies as well as those with sales activity continue to offer the specific services for a large number of tourists, that number, in the case of domestic tourism, increased by 1.6 times in case of the tour operators and by 4.44 times in case of the agencies with sales activity. At the same time, there have been changes in the preferences of tourists regarding their holiday destinations in Romania. Started on these considerations, paper based on a logistic model, examines the evolution of the probabilities and scores corresponding to the way the Romanian tourists spend their holidays on the types of tourism agencies, actions and tourist areas in Romania.


1970 ◽  
Vol 16 (2) ◽  
pp. 3-11 ◽  
Author(s):  
H Meilby ◽  
L Puri ◽  
M Christensen ◽  
S Rayamajhi

To monitor the development of four community-managed forests, networks of permanent sample plots were established in 2005 at sites in Chitwan, Kaski and Mustang Districts, Nepal. This research note documents the procedures used when preparing for establishment of the plot networks, evaluates the applied stratification of the forest on the basis of data gathered in pilot surveys conducted in the early 2005, and provides a discussion on the implications of the choices made. Key words: Community-managed forests; permanent sample plots; stratification; allocation; estimates Banko Janakari Vol.16(2) 2006 pp.3-11


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