Proximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparison

Basit Öğe Kaydı
dc.contributor.authorZehir, Sinan
dc.contributor.authorZehir, R.
dc.contributor.authorZehir, Sultan
dc.contributor.authorAzboy, I.
dc.contributor.authorHaykir, N.
dc.date.accessioned2024-04-24T15:59:44Z
dc.date.available2024-04-24T15:59:44Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractWe sought to determine whether intramedullary fixation with proximal femoral nail antirotation produces comparable outcomes to dynamic hip screw in the treatment of unstable trochanteric fractures. Patients were randomly allocated to receive proximal femoral nail antirotation (Group 1, n = 96, mean age; 77.22 +/- A 6.82 years) or dynamic hip screw (Group 2, n = 102, mean age; 76.86 +/- A 6.74 years). Outcome measures were time of operation and fluoroscopy, amount of blood loss and occurrence of surgery-related complications. Tip-apex distance and femoral neck shortening were also evaluated. Patients were evaluated at the sixth month to assess the recovery of walking ability. Survival information was obtained from a civil registry. Operative and fluoroscopy times were significantly shorter and blood loss was significantly lower in Group 1 than those in Group 2. Complication rates, mean tip-apex indices and recovery of walking ability were similar between groups, whereas independent walking was more common in Group 1 than in Group 2. Until the sixth month, screw cutout occurred in eight (7.8 %) and seven (7.3 %) patients in Group 1 and Group 2, respectively (p = 0.88). Three-year survival rate was 61.6 +/- A 9.4 vs 57.3 +/- A 9.7 % in Group 1 and Group 2, respectively (p = 0.50). Proximal femoral nail antirotation technique offers better recovery than dynamic hip screw, whereas both techniques possess the same risk of postoperative complications.en_US
dc.identifier.doi10.1007/s00068-014-0463-y
dc.identifier.endpage400en_US
dc.identifier.issn1863-9933
dc.identifier.issn1863-9941
dc.identifier.issue4en_US
dc.identifier.pmid26037995
dc.identifier.scopus2-s2.0-84938534866
dc.identifier.scopusqualityQ1
dc.identifier.startpage393en_US
dc.identifier.urihttps://doi.org/10.1007/s00068-014-0463-y
dc.identifier.urihttps://hdl.handle.net/11468/14235
dc.identifier.volume41en_US
dc.identifier.wosWOS:000358938100009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringer Heidelbergen_US
dc.relation.ispartofEuropean Journal of Trauma and Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHip Fractureen_US
dc.subjectProximal Femoral Nailen_US
dc.subjectHip Screwen_US
dc.subjectOsteoporosisen_US
dc.titleProximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparisonen_US
dc.titleProximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparison
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu