CORR Insights™: Intramedullary Nails Result in More Reoperations Than Sliding Hip Screws in Two-part Intertrochanteric Fractures

Dougherty, Paul J.

doi:10.1007/s11999-013-2791-3

Cited by 1 publication

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References 11 publications

(42 reference statements)

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“…Since its introduction in the 1980s, cephalomedullary fixation for IT fractures in the elderly has gained popularity. Aside from the theoretical advantage of being less invasive and biomechanically superior 17 – 19 , these devices have been advocated in cases of unstable fracture patterns such as reverse obliquity, lateral wall incompetence, subtrochanteric extension, and medial calcar disruption 8 , 20 , 21 . A review of reverse obliquity fractures in a large Scandinavian patient registry has corroborated the use of the nail, demonstrating a higher re-operation rate (6.4% versus 3.8%) at 1 year in the sliding hip screw (SHS) group compared with the intramedullary nail group, as well as a higher pain score and lower satisfaction rating.…”

Section: Intertrochanteric Hip Fracturesmentioning

confidence: 99%

Recent advances in the treatment of hip fractures in the elderly

et al. 2016

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The treatment of hip fractures in the elderly represents a major public health priority and a source of ongoing debate among orthopaedic surgeons and anesthesiologists. Most of these injuries are treated with surgery in an expedient fashion. From the surgical perspective, there are certain special considerations in this population including osteoporosis, pre-existing arthritis, age, activity level, and overall health that contribute to the type of surgical fixation performed. Open reduction and internal fixation versus arthroplasty remain the two major categories of treatment. While the indications and treatment algorithms still remain controversial, the overall goal for these patients is early mobilization and prevention of morbidity and mortality. The use of preoperative, regional anesthesia has aided in this effort. The purpose of this review article is to examine the various treatment modalities for hip fractures in the elderly and discuss the most recent evidence in the face of a rapidly aging population.

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