title: Functional outcome of ipsilateral intertrochanteric and femoral shaft fractures.
abstract: OBJECTIVE
  The purpose of this study was to compare the functional outcome of patients with ipsilateral intertrochanteric and femoral shaft fractures treated with a reconstruction nail versus a sliding hip screw and retrograde nail.
  
  
  METHODS
  Retrospective cohort study.
  
  
  METHODS
  Two level 1 trauma centers.
  
  
  METHODS
  Twenty-six patients with ipsilateral intertrochanteric and femoral shaft fractures treated between 1993 and 2003 with a reconstruction nail (n=13) or with a sliding hip screw and retrograde nail (n=13).
  
  
  METHODS
  Internal fixation with a reconstruction nail or a sliding hip screw and retrograde nail.
  
  
  METHODS
  Functional outcome was measured using the Short Form-36 (SF-36), Short Musculoskeletal Functional Assessment (SMFA), and Lower Extremity Functional Scale (LEFS).
  
  
  RESULTS
  The average time to follow-up was 49.6 months. Functional outcome was significantly better in the sliding hip screw with retrograde nail group for the role emotional (P=0.001) and mental component scores (P=0.016) of the SF-36. This group also scored better on the LEFS, although not reaching statistical significance (P=0.099).
  
  
  CONCLUSIONS
  For most outcome measures, no significant differences in functional outcome scores were observed between the 2 treatment groups. The results of this study suggest the need for a randomized controlled trial with a larger sample size to more definitively compare the 2 fixation constructs.
authors: Martin Orthopaedic Biomechanics Laboratory, St. Michael's Hospital, Toronto, Ontario, Canada.
authors: Christopher
authors: C
authors: Peskun
authors: Michael
authors: M
authors: McKee
authors: Hans
authors: H
authors: Kreder
authors: David
authors: D
authors: Stephen
authors: Alison
authors: A
authors: McConnell
authors: Emil H
authors: EH
authors: Schemitsch
mesh_terms: D000328:Adult; D000368:Aged; D001863:Bone Screws; D005260:Female; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal; D006620:Hip Fractures / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome