Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs

Objective. To compare two internal fixation devices clinically in stabilisation of intertrochanteric femur fractures. Methods. Eighty-seven patients were randomised upon their admission to the hospital using a sealed envelope method. Forty-five were treated with proximal femur nail antirotation (PFN...

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Main Authors: Ran Tao, Yue Lu, Hua Xu, Zhen-Yu Zhou, You-Hua Wang, Fan Liu
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2013/834825
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author Ran Tao
Yue Lu
Hua Xu
Zhen-Yu Zhou
You-Hua Wang
Fan Liu
author_facet Ran Tao
Yue Lu
Hua Xu
Zhen-Yu Zhou
You-Hua Wang
Fan Liu
author_sort Ran Tao
collection DOAJ
description Objective. To compare two internal fixation devices clinically in stabilisation of intertrochanteric femur fractures. Methods. Eighty-seven patients were randomised upon their admission to the hospital using a sealed envelope method. Forty-five were treated with proximal femur nail antirotation (PFNA) and 42 with reverse less invasive stabilisation system (LISS). The perioperative data were recorded and compared in relation to fracture type. Results. In each type of fractures, no significant differences were found with respect to the blood loss, the quality of reduction, the time to bony healing, and the Harris hip score between the 2 groups. The mean duration of surgery was significantly longer in reverse LISS group than in PFNA group. Conclusion. Both the PFNA and the reversed LISS are effective in the treatment of different types of intertrochanteric femur fractures. PFNA is superior to reverse LISS in terms of surgical time, weight-bearing, and perhaps fluoroscopy time.
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publishDate 2013-01-01
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series The Scientific World Journal
spelling doaj-art-c0d3c1fd653a4dea944e67ccfb6764352025-08-20T02:19:23ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/834825834825Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant DesignsRan Tao0Yue Lu1Hua Xu2Zhen-Yu Zhou3You-Hua Wang4Fan Liu5Department of Orthopaedics, Affiliated Hospital of Nantong University, 20 Xisi Road, Nantong, Jiangsu Province 226001, ChinaDepartment of Orthopaedics, Affiliated Hospital of Nantong University, 20 Xisi Road, Nantong, Jiangsu Province 226001, ChinaDepartment of Orthopaedics, Affiliated Hospital of Nantong University, 20 Xisi Road, Nantong, Jiangsu Province 226001, ChinaDepartment of Orthopaedics, Affiliated Hospital of Nantong University, 20 Xisi Road, Nantong, Jiangsu Province 226001, ChinaDepartment of Orthopaedics, Affiliated Hospital of Nantong University, 20 Xisi Road, Nantong, Jiangsu Province 226001, ChinaDepartment of Orthopaedics, Affiliated Hospital of Nantong University, 20 Xisi Road, Nantong, Jiangsu Province 226001, ChinaObjective. To compare two internal fixation devices clinically in stabilisation of intertrochanteric femur fractures. Methods. Eighty-seven patients were randomised upon their admission to the hospital using a sealed envelope method. Forty-five were treated with proximal femur nail antirotation (PFNA) and 42 with reverse less invasive stabilisation system (LISS). The perioperative data were recorded and compared in relation to fracture type. Results. In each type of fractures, no significant differences were found with respect to the blood loss, the quality of reduction, the time to bony healing, and the Harris hip score between the 2 groups. The mean duration of surgery was significantly longer in reverse LISS group than in PFNA group. Conclusion. Both the PFNA and the reversed LISS are effective in the treatment of different types of intertrochanteric femur fractures. PFNA is superior to reverse LISS in terms of surgical time, weight-bearing, and perhaps fluoroscopy time.http://dx.doi.org/10.1155/2013/834825
spellingShingle Ran Tao
Yue Lu
Hua Xu
Zhen-Yu Zhou
You-Hua Wang
Fan Liu
Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs
The Scientific World Journal
title Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs
title_full Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs
title_fullStr Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs
title_full_unstemmed Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs
title_short Internal Fixation of Intertrochanteric Hip Fractures: A Clinical Comparison of Two Implant Designs
title_sort internal fixation of intertrochanteric hip fractures a clinical comparison of two implant designs
url http://dx.doi.org/10.1155/2013/834825
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