Failure of short versus long cephalomedullary nail after intertrochanteric fractures

Abstract

The aim of study is to examine the frequency of reoperation and difference in failures for short cephalomedullary nail (SN) and long cephalomedullary nail (LN).We included patients with an intertrochanteric fracture treated with Gamma nail (Stryker®). All radiographs were reviewed, TAD and diastasis were measured, and type of failure registered.216 patients were included, 95 short nails and 121 long nails. We found 12 reoperations, 5 in the SN group and 7 in the LN group. Most common failure was cut out. Our study showed no difference in frequency of reoperations or type of failures.

Clinical outcomes following long versus short cephalomedullary devices for fixation of extracapsular hip fractures: a systematic review and meta-analysis

“…Peri-implant infection rates 1-year post-operatively were also reported to be similar in the 6 studies which reported on them 18 , 20 , 24 , 26 , 32 , 33 .…”

“…1-year complication rate was reported in 11 studies, with only Li et al . reporting statistically fewer incidences in the long CMD group 12 , 18 , 21 – 23 , 26 – 28 , 30 , 32 , 33 .…”

“…Peri-implant fracture rates 1-year post-operatively were reported in 10 studies, with only Frisch et al reporting a statistically higher rate of fractures on the short CMD group 12 , 18 , 20 , 21 , 23 , 24 , 26 , 27 , 29 , 32 , 33 .…”

“…Peri-implant fractures were reported to be at the distal tip of the implant in several cases of long nails 18 , 23 , 33 . In some reports, the peri-implant fractures were due to identifiable incidents of trauma, such as falls from standing height 12 , 23 , 25 , 32 , 33 . Kleweno et al .…”

Comparative analysis of operation time and intraoperative fluoroscopy time in intramedullary and extramedullary fixation of trochanteric fractures

“…Relation between trochanteric and femoral neck fractures, as a type of osteoporotic hip fractures too, is variable in different parts of the world, confirming the influence of genetic and environmental factors in their incidence. Femoral neck fractures are more present in Northern Europe, while trochanteric fractures are more occurred in Central and Southern Gold standard in trochanteric fractures internal fixation is third generation of Gamma Nail, as an intramedullary method with a cannulated lag screw 6,7,8,9 . Trochanteric fractures with pertrochanteric component (fracture line extending in lower-medial direction from the greater trochanter) require the use of lag screws 6,9 .…”