Functional and radiological outcome of subtrochanteric fracture treated with proximal femoral nail

Raj, D.; Arokiaraj, Marie Bernard C; Xavier, Anish Anto

doi:10.22271/ortho.2018.v4.i1l.119

Cited by 2 publications

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“…With the increasing life expectancy of the elderly and aging population, hip fractures, including trochanteric fractures, remain among the most common fractures encountered in orthopedic practice [ 1 , 2 ]. Of particular concern are the accompanying implications of such fractures, including morbidity, mortality, and economic burden [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Association of Hip Fracture With the Use of Walking Assistance Devices Post-surgery: A Retrospective Study Comparing Intertrochanteric and Subtrochanteric Hip Fractures

Nahouli¹,

Bassil²,

Mailhac³

et al. 2023

Cureus

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BackgroundHip fractures, including intertrochanteric and subtrochanteric fractures, are among the most common types of fractures. The dynamic hip screw (DHS) and the cephalomedullary hip nail (CHN) are the two main techniques used for the fixation of these types of fractures. This study aims to explore the association of the fracture type with the use of walking assistance devices post-surgery, regardless of the fixation technique. MethodologyThis study is a retrospective study based on the review of de-identified patient data from the American College of Surgeons National Surgical Quality Improvement Program database. Patients aged 65 years old or above who underwent fixation procedures for intertrochanteric or subtrochanteric fractures using CHN or DHS techniques were included in this study. ResultsA total of 8,881 patients were included and divided into the following two groups: 876 (9.9%) patients treated for subtrochanteric fracture, and 8,005 (90.1%) patients treated for intertrochanteric fracture. No statistical significance was detected in the use of mobility aid postoperatively between the two groups. When compared to CHN, DHS was noted to be the most employed fixation technique among patients with intertrochanteric fractures. One main finding was that patients who underwent surgery using DHS for intertrochanteric fractures were more likely to use walking assistance devices postoperatively compared to those with subtrochanteric fractures treated with the same fixation technique. ConclusionsFindings suggest that the use of walking assistance devices post-surgery is independent of the type of fracture and potentially dependent on the fixation technique employed. Future studies focused on the difference in the use of walking assistance devices based on fixation techniques for patients with distinctive sub-types of trochanteric fractures are highly encouraged.

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Section: Introductionmentioning

confidence: 99%

Association of Hip Fracture With the Use of Walking Assistance Devices Post-surgery: A Retrospective Study Comparing Intertrochanteric and Subtrochanteric Hip Fractures

Nahouli¹,

Bassil²,

Mailhac³

et al. 2023

Cureus

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“…Subtrochanteric fractures are encountered in general population due to a simple fall or after a high-velocity injury involving both direct and indirect forces. 1 Subtrochanteric fractures are defined as fractures occurring in the proximal femur from the inferior aspect of the lesser trochanter to a distance of about 5 cm distally. 2 It can affect any of the age groups and accounts for 10 to 34% of hip fractures.…”

Section: Introductionmentioning

confidence: 99%

Study of management of subtrochanteric fractures of femur with reconstruction nail

et al. 2020

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Background: Subtrochanteric fractures of femur are the fractures occurring from the inferior aspect of the lesser trochanter to 5 cm distally. They represent a challenge for surgeons due to the deforming forces acting on the region and the high rates of complications like non-union. This study evaluates the fixation of subtrochanteric fractures of femur with reconstruction nail which is a specialized antegrade intramedullary nail for femur.Methods: A prospective study conducted between October 2017 to May 2019 where 20 cases of subtrochanteric fractures of femur were treated with reconstruction nail and were followed up serially till 24 weeks radiologically and clinically.Results: The average time of union for patients was 5.15±1.14 months with 3 patients whose fractures didn’t unite where one went for frank non union, one had a refracture and one patient had reverse z effect. The functional outcome was excellent in 45% patients and good in 30% patients while poor in 3 (15%) patients.Conclusions: Reconstruction nail is a good device for subtrochanteric fractures of femur providing rigid fixation with low complication rates.

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Functional and radiological outcome of subtrochanteric fracture treated with proximal femoral nail

Cited by 2 publications

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Association of Hip Fracture With the Use of Walking Assistance Devices Post-surgery: A Retrospective Study Comparing Intertrochanteric and Subtrochanteric Hip Fractures

Association of Hip Fracture With the Use of Walking Assistance Devices Post-surgery: A Retrospective Study Comparing Intertrochanteric and Subtrochanteric Hip Fractures

Study of management of subtrochanteric fractures of femur with reconstruction nail

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