Minimally invasive dynamic hip screw: prospective randomized trial of two techniques of insertion of a standard dynamic fixation device.
OBJECTIVE
This study evaluates the safety and outcome of a minimally invasive technique for inserting a standard dynamic hip screw for intertrochanteric fractures.


OBJECTIVE
The use of standard plate in a minimally invasive technique is both possible and advantageous to patient outcome.


METHODS
Prospective surgeon-randomized blinded outcome clinical study comparing new technique to conventional technique.


METHODS
Pain, operative time and mean hemoglobin drop in percutaneous hip fixation.


RESULTS
The minimally invasive technique had significantly less blood loss (P < 0.001), operative time (P < 0.001) and a trend to less morphine use.


CONCLUSIONS
Minimal invasive technique significantly reduces blood loss and operative time for fixation of intertrochanteric hip fractures without sacrifice of fixation stability or bone healing.
Alobaid
A
A
Department of Orthopaedic Surgery, Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada.
Harvey
E J
EJ
Elder
G M
GM
Lander
P
P
Guy
P
P
Reindl
R
R
D000368:Aged; D000369:Aged, 80 and over; D001863:Bone Screws; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D011446:Prospective Studies; D016037:Single-Blind Method; D016896:Treatment Outcome