Intertrochanteric fractures of the femur: a prospective study comparing the use of the Küntscher-Y nail and a sliding hip screw.
This prospective randomized study has compared the use of the Küntscher-Y nail and a sliding hip screw in the treatment of intertrochanteric fractures of the femur. For patients whose general health was good, the use of the sliding hip screw was associated with a significantly lower 1-year mortality rate. The use of the sliding screw also resulted in a higher proportion of 1-year survivors regaining their prefracture level of mobility. There was no difference in the rates of cutting-out of the two implants but use of the Küntscher-Y nail was associated with a greater incidence of shortening.
Davis
T R
TR
Northern Region Orthopaedic Training Rotation, Durham.
Sher
J L
JL
Checketts
R G
RG
Porter
B B
BB
D000368:Aged; D000369:Aged, 80 and over; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D006620:Hip Fractures / Q000401:mortality / Q000601:surgery*; D006801:Humans; D007870:Leg Length Inequality / Q000209:etiology; D008124:Locomotion; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D011897:Random Allocation