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2017 ; 49
(1
): 7-11
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Comparison of Second and Third-Generation Nails in the Treatment of
Intertrochanteric Fracture: Screws versus Helical Blades
#MMPMID28416924
Kumbaraci M
; Karapinar L
; Turgut A
Eurasian J Med
2017[Feb]; 49
(1
): 7-11
PMID28416924
show ga
OBJECTIVE: The aim of this study was to compare the radiological and functional
outcomes of anti-rotation trochanteric nails (ATNs) with proximal femoral nail
anti-rotation (PFNA) in the treatment of intertrochanteric femur fractures in
elderly patients. MATERIALS AND METHODS: In total, 165 intertrochanteric
fractures were treated between January 2007 and January 2010. One hundred forty
patients were included. The operation time, amount of blood loss, fluoroscopy
screening time, and length of hospitalization were recorded. The radiological
position of the implant, quality of fracture reduction, and tip-apex distance
were evaluated, and the postoperative complications as well as functional
condition of the patients were assessed. RESULTS: There were no significant
differences between the ATN and PFNA groups for the presence of general
complications, length of hospitalization, and functional capacity. The mean
operation time, blood loss amount, and fluoroscopy screening time were more in
the ATN group than in the PFNA group. Reoperation was needed for nine and two
patients in the ATN and PFNA groups, respectively, because of implant-related
complications. CONCLUSION: Both ATNs and PFNA were suitable for the fixation of
intertrochanteric fractures, but the risk of complication occurrence and need for
reoperation were found to be higher in patients who were treated with ATNs.