Results of Intramedullary Nailing of Femoral Shaft Fracture - Trochanteric Entry Portal (Sirus Nail) versus Piriformis Entry Portal (M/DN Nail) -

Ha, Sang Ho; Kim, Woong‐Hee; Lee, Gwang Chul

doi:10.12671/jkfs.2014.27.1.50

Cited by 9 publications

(21 citation statements)

References 18 publications

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“…The search resulted in 4 studies 14,[17][18][19] that met the eligibility criteria, providing a total of 570 patients for analysis (Figure 1). Included were 2 level I RCTs, 17,18 1 level II PCS, 14 and 1 level III RCS.…”

Section: General Study Characteristicsmentioning

confidence: 99%

“…Included were 2 level I RCTs, 17,18 1 level II PCS, 14 and 1 level III RCS. 19 All of the studies were published in peerreviewed journals. Of the 4 studies, 3 were written in English 14,17,18 and 1 required translation 19 (Korean to English) by a bilingual Korean-English medical student.…”

Section: General Study Characteristicsmentioning

confidence: 99%

“…19 All of the studies were published in peerreviewed journals. Of the 4 studies, 3 were written in English 14,17,18 and 1 required translation 19 (Korean to English) by a bilingual Korean-English medical student. Mean age of participants across all eligible studies was 34.5 years.…”

Section: General Study Characteristicsmentioning

confidence: 99%

“…Mean clinical follow-up across the 4 studies ranged from 10 to 48 months. Data pertaining to sex were available for 3 studies, 14,18,19 and 278 (60.4%) of the 460 patients were male. Patients were placed supine for antegrade IM nailing in all of the eligible studies.…”

Section: General Study Characteristicsmentioning

confidence: 99%

“…16 Since the study by Ricci et al, 14 there have been a number of randomized, controlled trials (RCTs) and cohort studies comparing the efficacy of the 2 entry points on various patientand procedure-related outcomes. [17][18][19][20] To the current authors' knowledge, there has been no systematic review of the literature on optimal entry point during antegrade nailing of femoral shaft fractures.…”

mentioning

confidence: 99%

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Comparing Entry Points for Antegrade Nailing of Femoral Shaft Fractures

Sheth¹,

Gohal²,

Chahal³

et al. 2016

Orthopedics

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The optimal entry point for antegrade intramedullary nailing of femoral shaft fractures remains controversial. The purpose of this systematic review was to determine whether there is a difference in operative parameters, healing, and functional outcome when comparing the greater trochanter (GT) and piriformis fossa (PF) entry points. A systematic search of multiple databases and 3 major orthopedic meetings (American Academy of Orthopaedic Surgeons, Canadian Orthopaedic Association, and Orthopaedic Trauma Association) was conducted. Four studies (570 patients) met the inclusion criteria. Mean patient age was 34.5 years, and 60.4% were male. The GT entry point was associated with significantly shorter operative (mean difference [MD], -20.05 minutes [95% confidence interval (CI), -23.09 to -17.02]; P<.00001) and fluoroscopy times (MD, -24.55 seconds [95% CI, -43.23 to -5.86]; P=.01). There was no significant difference in nonunion (risk ratio [RR], 0.74 [95% CI, 0.35 to 1.58]; P=.44) and delayed union rates (RR, 0.94 [95% CI, 0.41 to 2.14]; P=.88) between the 2 entry points. Heterogeneity in outcome measures reported prevented pooled analysis of functional outcomes. This review supports the use of the GT entry point during antegrade nailing of femoral shaft fractures over the PF entry point, with regard to shorter operative and fluoroscopy times. Healing and complication rates were not related to the entry point. Further study is required to determine the effect of each entry point on the surrounding soft tissue structures and ultimately its impact on postoperative function.

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Section: General Study Characteristicsmentioning

confidence: 99%

Section: General Study Characteristicsmentioning

confidence: 99%

Section: General Study Characteristicsmentioning

confidence: 99%

Section: General Study Characteristicsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Comparing Entry Points for Antegrade Nailing of Femoral Shaft Fractures

Sheth¹,

Gohal²,

Chahal³

et al. 2016

Orthopedics

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The Curative Effect Comparison Between Prolonged Third Generation of Gamma Nail and Prolonged Dynamic Hip Screw Internal Fixation in Treating Femoral Intertrochanteric Fracture and the Effect on Infection

Zhang

2014

Cell Biochem Biophys

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The objective was to explore the curative effect of prolonged third generation of gamma nail (pTGN) and prolonged dynamic hip screw (pDHS) internal fixation in treating femoral intertrochanteric fracture, and analyze the incidence rate of infection for better clinical diagnosis and treatment. Sixty five patients with femoral intertrochanteric fracture during February, 2011-February, 2013 were selected and divided into two groups, with one receiving pTGN (control group) and the other one receiving pDHS internal fixation (observation group). The clinical effects of two groups were compared. In control group, the excellent and good rate was 78.13 %, the total effective rate was 87.5 %, and the total complication rate was 6.24 %; in observation group, the excellent and good rate was 78.79 %, the total effective rate was 90.91 %, the total complication rate was 6.06 %; there was no statistical difference between two groups (p > 0.05). The operation time, the intraoperative fluoroscopy time, and the total blood loss had statistically significant difference between two groups (p < 0.05); however, the differences of the total length of incision, the length of preoperative hospitalization, postoperative ambulatory episode, and the length of stay between two groups were not statistically significant (p > 0.05). Both pTGN and pDHS internal fixation were effective on femoral intertrochanteric fracture, with pDHS internal fixation having better overall efficiency.

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