Sliding hip screw fixation of trochanteric hip fractures: Outcome of 1024 procedures

Chirodian, Nish; Arch, Barbara; Parker, Martyn J.

doi:10.1016/j.injury.2005.01.017

Cited by 100 publications

(72 citation statements)

References 21 publications

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“…Mortality was even lower when compared with published data which referred to the use of other techniques (Dzupa 30% [17]; Chirodian 31% [18]; Larsson 18% [19]). …”

Section: Follow-upmentioning

confidence: 66%

Percutaneous compression plating versus gamma nail for the treatment of pertrochanteric hip fractures

Giancola¹,

Antonini²,

Rose³

et al. 2008

Strategies in Trauma and Limb Reconstruction

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The objective of this study is to compare percutaneous compression plating (PCCP) device with standard gamma nail (GN). A sample was prospectively followed and compared to a historical cohort: 82 intertrochanteric hip fractures in 81 patients treated with PCCP in 2004 versus 51 hip fractures treated with GN in 2003 (AO type 31A1, 31 A2). The main outcome measures were: surgery times, blood loss (Hb serum level and transfusions), complication, costs, for a 1-year follow-up. The minimally invasive PCCP technique resulted in a lower blood loss and consequently lower transfusion need (statistically significant), fewer implant-related complications and comparable surgery times. Overall surgical costs were lower for a comparable outcome in terms of healing and surgical time.

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“…Mortality was even lower when compared with published data which referred to the use of other techniques (Dzupa 30% [17]; Chirodian 31% [18]; Larsson 18% [19]). …”

Section: Follow-upmentioning

confidence: 66%

Percutaneous compression plating versus gamma nail for the treatment of pertrochanteric hip fractures

Giancola¹,

Antonini²,

Rose³

et al. 2008

Strategies in Trauma and Limb Reconstruction

View full text Add to dashboard Cite

show abstract

“…Therefore, evaluation of their results is difficult and controversial especially for subtrochanteric fractures. The dynamic compression hip screw (DHS) has been a popular method of internal fixation for subtrochanteric fractures [13][14][15][16][17] . It provides compression along the femoral neck, and if the reduced fracture is stable, load-sharing between the bone and implant can occur [18] .…”

Section: Discussionmentioning

confidence: 99%

“…Failures increase 7 fold if medialization of more than 1/3 of the femoral diameter at the fracture site occurs [19] . Progressive varus collapse of the femoral head with proximal migration and eventual cutting out of the femoral head screw was the most common mode of mechanical failure of the sliding hip screw [17] .…”

Section: Discussionmentioning

confidence: 99%

Fixation of Subtrochantric Fractures Using Distal Femoral Locking Compression Plate of Contralateral Side

Langshong¹,

Punithavasanthan²,

Bhupes³

et al. 2017

IOSR JDMS

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“…The rate of complications directly related to the surgical fixation is only 3.6%, leading to reoperation in 2.6% of the patients. 29 The optimal fixation device for trochanteric fractures is still controversial at present. Jones et al compared the intramedullary nail (IMN), which involved gamma nail, intramedullary hip screw (IMHS), and PFN, with sliding hip screw for treatment of extracapsular proximal femoral fractures.…”

Section: Discussionmentioning

confidence: 99%

A study of management of trochanteric fracture of femur treated with dynamic sliding hip screw-plate device vs. proximal femoral nail

et al. 2017

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Background:The incidence of intertrochanteric fractures has been increasing significantly due to the rising age of modern human populations. Generally, intramedullary fixation [proximal femoral nail (PFN) and gamma nail] and extra-medullary fixation [dynamic hip screw (DHS)] are the 2 primary options for treatment of such fractures. Objectives: The goal of this study is to compare the clinical and radiographical results of DHS and PFN for the treatment of trochanteric hip fractures. Methods: Patients with trochanteric fractures were treated either with DHS or PFN in the Department of Orthopaedics, M.G.M. Medical College and L.S.K Hospital, Kishanganj, Bihar from October 2010 to October 2012 were included for this study. Results: Forty three patients (24 male and 19 female, ratio of M:F 1.26:1) surgically treated for trochanteric fractures were divided into two groups. Group 1: 25 hips treated with DHS and group 2: 18 hips treated with PFN. The outcome for each group was analyzed, and total operative time, time to union, complications (early and late), and mortality were recorded. The results were statistically compared. Out of 25 cases of DHS, majority cases (13) took between 1 hour 36 minutes to 2 hours. Whereas, out of 18 cases of PFN, majority (8) took 1 hour to 1 hour 30 minutes. The mean time to union for group 1 was 2.09 months and 1.69 months for group 2. Early and late complication rates between treatment groups revealed no statistically significant differences. Total duration of surgery was significantly lower for PFN than it was for DHS. A comparison of time to union and overall mortality demonstrated no statistically significant differences. Conclusions: We detected no differences between the two treatment groups in regard to early versus late complications, time to union, and overall mortality; however, with its shorter operative period, PFN is a good alternative to the DHS.

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Sliding hip screw fixation of trochanteric hip fractures: Outcome of 1024 procedures

Cited by 100 publications

References 21 publications

Percutaneous compression plating versus gamma nail for the treatment of pertrochanteric hip fractures

Percutaneous compression plating versus gamma nail for the treatment of pertrochanteric hip fractures

Fixation of Subtrochantric Fractures Using Distal Femoral Locking Compression Plate of Contralateral Side

A study of management of trochanteric fracture of femur treated with dynamic sliding hip screw-plate device vs. proximal femoral nail

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