title: Favorable radiographic outcomes using the expandable proximal femoral nail in the treatment of hip fractures - A randomized controlled trial.
abstract: OBJECTIVE
  To compare the functional and radiographic results of dynamic hip screw (DHS) and expandable proximal femoral nail (EPFN) in the treatment of extracapsular hip fractures.
  
  
  METHODS
  A randomized controlled trial of sixty hip fracture patients. Outcomes included mortality, residency, independence, mobility, function and radiographic results at a minimum of 1 year.
  
  
  RESULTS
  Twenty-nine EPFN patients demonstrated fewer cases of shaft medialization or femoral offset shortening compared to the 31 DHS patients. Mortality, complications and functional outcomes were similar.
  
  
  CONCLUSIONS
  EPFN provides stable fixation of pertrochanteric hip fractures and prevents neck shortening that is commonly observed after DHS fixation.
authors.affiliation: Division of Orthopaedics, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel.
authors.forename: Ofir
authors.initials: O
authors.lastname: Chechik
authors.affiliation: Division of Orthopaedics, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel.
authors.forename: Eyal
authors.initials: E
authors.lastname: Amar
authors.affiliation: Division of Orthopaedics, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel.
authors.forename: Morsi
authors.initials: M
authors.lastname: Khashan
authors.affiliation: Division of Orthopaedics, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel.
authors.forename: Tamir
authors.initials: T
authors.lastname: Pritsch
authors.affiliation: Division of Orthopaedics, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel.
authors.forename: Michael
authors.initials: M
authors.lastname: Drexler
authors.affiliation: Division of Orthopaedics, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel.
authors.forename: Yariv
authors.initials: Y
authors.lastname: Goldstein
authors.affiliation: Division of Orthopaedics, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel.
authors.forename: Ely L
authors.initials: EL
authors.lastname: Steinberg
keywords: Dynamic hip screw; Expandable; Hip fracture; Offset; Proximal femoral nail
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