Faculty Opinions recommendation of TRIGEN INTERTAN intramedullary nail versus sliding hip screw: a prospective, randomized multicenter study on pain, function, and complications in 684 patients with an intertrochanteric or subtrochanteric fracture and one year of follow-up.

2013 ◽  
Author(s):  
Edilson Forlin ◽  
Andre Sebben
Keyword(s):  
Multicenter Study ◽  
Intramedullary Nail ◽  
Subtrochanteric Fracture ◽  
Sliding Hip Screw ◽  
Hip Screw ◽  
One Year

scholarly journals TRIGEN INTERTAN Intramedullary Nail Versus Sliding Hip Screw

2013 ◽  
Vol 95 (3) ◽  
pp. 200-208 ◽  
Author(s):  
Kjell Matre ◽  
Tarjei Vinje ◽  
Leif Ivar Havelin ◽  
Jan-Erik Gjertsen ◽  
Ove Furnes ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Sliding Hip Screw ◽  
Hip Screw

scholarly journals Intertrochanteric fracture fixation with Dynamic Hip Screw: Is tip-apex distance measurement useful for predicting fixation failure?

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Goh KL ◽  
Zamzuri Z ◽  
Mohd Ariff S ◽  
Mohamed Azril MA
Keyword(s):  
Intertrochanteric Fracture ◽  
Demographic Data ◽  
Dynamic Hip Screw ◽  
Optimal Placement ◽  
Fixation Failure ◽  
Lag Screw ◽  
Hip Screw ◽  
Tip Apex Distance ◽  
One Year

Introduction: Application of dynamic hip screw (DHS) implant for the treatment of unstable intertrochanteric fractures continues to raise concern related to risk of lag screw cut-out with or without subsequent damage to the acetabulum. Measurement of tip-apex distances (TAD) has been recommended to guide the optimal placement of lag screw and to predict subsequent risk of screw cut-out. In this study, the value of TAD was evaluated to verify its usefulness. Methods: This is a retrospective study of 33 consecutive patients with intertrochanteric fracture treated with DHS. Demographic data of the patients were traced from their case notes. Post-operative radiographs were reviewed by focusing on measurement of TAD on anteroposterior and lateral radiographs. Radiographs at one year follow-up were reviewed to depict any fixation-related failure or complication. Results: Fifty two percent of patients did not achieved the recommended TAD of ≤ 25mm. The mean post-operative TAD was 25.9mm and elderly patients were likely to achieve TAD of ≤ 25mm. The overall complication rate of 6% was attributed to screw cut-out in two cases. The unstable left-sided fracture was identified to be a potential risk for screw cut-out or migration. Conclusion: TAD is a valuable measurement to guide optimal placement of lag screw during DHS fixation of intertrochanteric fracture.

scholarly journals Comparative study between dynamic hip screw and plate with proximal femoral nailing in trochanteric fractures of femur

2017 ◽  
Vol 3 (3) ◽  
pp. 602
Author(s):  
M. K. Nizamoddin Khateeb ◽  
Satish Babu D. G.
Keyword(s):  
Early Mobilization ◽  
Dynamic Hip Screw ◽  
Care Hospital ◽  
Intertrochanteric Fractures ◽  
Sliding Hip Screw ◽  
Medical College ◽  
Femoral Nailing ◽  
Hip Screw ◽  
One Year ◽  
Proximal Femoral Nailing

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Incidence of intertrochanteric fractures has increased significantly during recent years and<strong> </strong>it will probably continue to rise in near future due to increased longevity of life. Closed methods of treatment for intertrochanteric fractures have increased mortality rates &amp; have largely been abandoned. Rigid internal fixation and early mobilization has been the standard protocol of treatment nowadays. This study was intended to compare the results of Intertrochanteric fractures treated by dynamic hip screw (DHS) over proximal femoral nailing (PFN)</span><span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">This is a randomized prospective study of 102 cases of intertrochanteric fractures,<strong> </strong>admitted to Mysore Medical College &amp; Hospital, Mysore and ESIC medical college and hospital Kalaburagi and Kamareddy Ortho &amp; Trauma care Hospital Kalaburagi; treated with proximal femoral nailing and DHS. The patients were divided randomly into two groups, each of 51 patients, 51 were treated by Dynamic Hip Screw &amp; 51 were treated with proximal femoral nail (PFN).All patients were followed up for one year</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In our series of 102 patients of Intertrochanteric fractures, 51 were treated with sliding hip screw with<strong> </strong>plate and 51 were treated by an intra-medullary hip screw. Most of the patients were between 51 to 80 years. Slip and trivial fall accounted for 70% cases. Right side was more common accounted for 58.34% of cases</span><span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">From our study, we consider PFN as better alternative to DHS in more unstable fractures with technically difficulty and require more experience. Sliding hip screw remains the implant of choice for stable type fractures. We noticed less operative time, less blood loss, fewer intra-op complications in PFN group. The quality of the reduction achieved &amp; proper positioning of the implant are important to achieve the best post-operative outcome</span><span lang="EN-IN">.</span></p>

scholarly journals Complications of femoral neck fracture fixation using a sliding hip screw with a side plate device in patients older than 65 years

2020 ◽  
Author(s):  
Tatsuya Mitsugi ◽  
Hideaki Miyamoto ◽  
Masahiro Izumi ◽  
Kentaro Matsui ◽  
Keisuke Ishii ◽  
...  
Keyword(s):  
Femoral Neck ◽  
Fracture Fixation ◽  
Periprosthetic Fracture ◽  
Sliding Hip Screw ◽  
Aseptic Necrosis ◽  
Side Plate ◽  
Loss Of Reduction ◽  
Neck Fracture ◽  
Hip Screw ◽  
One Year

Abstract BackgroundA majority of femoral neck fractures are indicated for surgical treatment within the scope of applicable guidelines. However, the reported overall complication rate in elderly patients one year after hip fracture fixation was 33.3%. The purpose of this study was to clarify the incidence of complications one year after femoral neck fracture fixation using a sliding hip screw with a side plate device in elder than 65-year-old patients.MethodsWe studied the results of 115 cases of the internal fixation for femoral neck fractures in patients older than 65 years of age using the Twins device (HOYA Technosurgical Corporation, Tokyo, Japan). We could follow up 39 of these 115 cases at one year after fixation and retrospectively investigated complications in these patients. Research outcomes were mortality, surgical site infection (SSI), loss of reduction, aseptic necrosis, late segmental collapse (LSC), nonunion, periprosthetic fracture, reoperation, and recovery of walking ability.ResultsThe patients consisted of 13 men and 26 women (mean age 80.5 years, range 65-104 years). Mortality was observed in four cases (14.2%), SSI in one case (2.5%), loss of reduction in six cases (15.4%), aseptic necrosis in seven cases (17.9%), LSC in three cases (7.6%), nonunion in eight cases (20.5%), periprosthetic fracture in three cases (7.6%), and reoperation was performed in seven cases (17.9%), respectively. In 28 cases, the patients could walk independently before injury; this decreased to 19 cases after injury (67.9%).ConclusionsIn our study, the incidence of loss of reduction rate and periprosthetic fracture rate were relatively high. Other complications of the Twins device evaluated were equivalent to those reported previously.

scholarly journals Clinical evaluation of the proximal femur intramedullary nail antirotation system-II for treatment of unstable pertrochanteric fractures

2019 ◽  
Vol 6 (1) ◽  
pp. 183
Author(s):  
Ram Avtar ◽  
Rajat Gupta
Keyword(s):  
The Elderly ◽  
Reoperation Rate ◽  
Harris Hip Score ◽  
Sliding Hip Screw ◽  
Pertrochanteric Fractures ◽  
Hip Screw ◽  
Proximal Femoral Nail Antirotation ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Pertrochanteric fractures are relatively common among the elderly. Common techniques for fixation of these fractures are sliding hip screw and plate or intramedullary nailing. The objective of the present study was designed to<em> </em>evaluate and analyze the role of proximal femoral nail antirotation II (PFNA II) in the treatment of unstable pertrochanteric fractures.</p><p class="abstract"><strong>Methods:</strong> It was a prospective study on 50 cases of unstable pertrochanteric fractures. Harris hip score was used for functional assessment.<strong></strong></p><p class="abstract"><strong>Results:</strong> In this study at 6 months follow up, Union was achieved in 48 cases, technical and mechanical complications were noted in 6% cases (3 cases). Reoperation rate was 4% (2 cases). According to Harris Hip scoring system Excellent results were noted in 26 cases, good in 14 cases, fair in 8 cases and poor result in 2 cases.</p><p class="abstract"><strong>Conclusions:</strong> It is concluded from our study that PFNA II is an attractive and suitable implant for unstable pertrochanteric fractures.</p>

scholarly journals Intertrochanteric hip fracture in a 6-year-old girl treated with pediatric sliding hip screw: case report

2018 ◽  
Vol 6 (1) ◽  
pp. 51-54
Author(s):  
António L. Lopes ◽  
Marta Maio ◽  
Pedro T. Mota ◽  
Rita Sapage ◽  
Carlos B. Branco ◽  
...  
Keyword(s):  
Hip Fracture ◽  
Hip Fractures ◽  
Locking Plate ◽  
Sliding Hip Screw ◽  
Type Iv ◽  
Intertrochanteric Hip Fracture ◽  
Fractures In Children ◽  
Osteosynthesis Material ◽  
Hip Screw

Hip fractures are very common in adults, but are rare entities in children, comprising less than 1% of all pediatric fractures. The authors present a clinical case of a 6-year-old girl with an intertrochanteric hip fracture — displaced Delbet’s type IV — treated with a pediatric sliding hip screw. The osteosynthesis material was removed 10 months later. The Delbet type IV hip fractures corresponds to 12% of all pediatric hip fractures. This type of fractures in children older than 3 years old should be treated with internal fixation with a sliding hip screw or a proximal femur locking plate. Preferably the reduction of the fracture should be done within 24 hours. Despite the delay of the surgical procedure, the patient got an excellent recovery without any of the complications described in the literature with a follow-up of 26 months upon the implant-removal surgery.

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