RAB-plate vs Richards CHS plate for unstable trochanteric hip fractures. A randomized study of 233 patients with 1-year follow-up.
We prospectively randomized 233 patients with unstable trochanteric hip fractures for treatment with a 120 degrees fixed angle blade-plate having a buttress rod (group A, n 111) or a 135 degrees compression hip screw (group B, n 122). The minimum follow-up time was 1 year. The ratio of technical failure was 9% in group A and 19% in group B (p = 0.06). 79 (87%) fractures in group A and 65 (68%) fractures in group B healed without any complication (p = 0.003). Malunion occurred in 2 cases in group A and in 15 cases in group B (p = 0.002).
Buciuto
R
R
Department of Orthopaedic Surgery, University Hospital, Linköping, Sweden.
Uhlin
B
B
Hammerby
S
S
Hammer
R
R
D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000145:classification / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011474:Prosthesis Design; D016896:Treatment Outcome