Comparative study of the Ender method and Dynamic Hip Screw stabilization in the treatment of intertrochanteric fractures of the femur.
Background. The aim of this retrospective study was to compare the results of two fixation devices (Ender rods in 118 patients and dynamic hip screw in 98 patients) for treatment of intertrochateric fractures of the hip. Material and methods. The two treatment groups were similar with respect to important preoperative variables such as age, coexisting disseases, bone quality and incidence of stable and unstable fractures. The following outcomes were assessed: quality of reduction, length of hospital stay, early mortality, reoperations, persistent pain at a knee or hip, decrease in range of motion of the knee and leg shortening. Results and conclusions. The subgroup analysis showed higher incidence of complications in patients with unstable type of fracture treated with Ender nailing. These complications included mainly valgus angulation and malrotation of the fracture, need for a secondary procedure due to loss of stabilization and knee pain. Intramedullary stabilization with Ender rods is not recommended in treatment of unstable intertrochanteric fractures of the femur.
Oddział III Samodzielnego Publicznego Szpitala Wojewódzkiego im. dr J. Daaba, Piekary Slaskie.
Roman
R
Walo
Jacek
J
Semenowicz
Marcin
M
Grabowski
Marcin
M
Komarek
Przemysław
P
Czuma