Intertrochanteric hip fractures treated with the trochanteric fixation nail and sliding hip screw.
The primary treatment options for intertrochanteric hip fractures are a sliding hip screw (SHS) and an intramedullary device, with each having its own advantages and disadvantages. The authors retrospectively compared all intertrochanteric hip fractures between 2003 and 2005 using a cephalomedullary nail--the trochanteric fixation nail (TFN)--to those using a SHS. Outcome measures included the following parameters: age, gender, fracture classification, operation time, blood loss, transfusions, complications, follow-up, length of stay, and hospital cost. A total of 95 patients were included in the study (51 SHS and 44 TFN). The two groups were similar in age (p = .52), blood loss (p = .20), follow-up (p = .13), length of stay (p = .63), and hospital costs (p = .70). The TFN procedure required shorter operative times (56.5 min, p < .004) and was used in more complex fracture patterns (p < .03). The SHS group had fewer blood transfusions (1.2 units, p < .0008). The SHS group had a higher complication rate of 19.6%, versus the TFN group's 11.4% rate (p = .13). The TFN is an appropriate and acceptable treatment method for intertrochanteric hip fractures.
Gill
J Brian
JB
Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University Health Sciences, Lubbock, TX 79430, USA. brian.gill@ttuhsc.edu
Jensen
Layne
L
Chin
Paul C
PC
Rafiei
Poyan
P
Reddy
Kartheek
K
Schutt
Robert C
RC
D000368:Aged; D001858:Bone Nails; D001863:Bone Screws; D005260:Female; D005269:Femur; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies