In a review of 148 cases, operative treatment of trochanteric fractures using a Capener-Neufeld nail-plate was suggested to lower mortality and improve mobility compared to conservative care.
Observational (n=148)
Does operative treatment with internal fixation improve comfort, mobility, and mortality compared to conservative treatment in patients with trochanteric fractures of the femur?
Operative treatment of trochanteric fractures with internal fixation provides advantages in mobility, mortality, and hospital resource utilization over conservative management.
Trochanteric fractures are classified, with special emphasis on the stability or instability of the fracture. The importance of the cortical buttress of bone on the inner side of the femoral neck and shaft is stressed. 2. Three series of cases are presented: a) one hundred and one cases treated conservatively in hospital; b) twenty-five cases sent home by reason of lack of hospital beds; c) twenty-two cases treated by fixation with a Capener-Neufeld nail-plate. 3. From consideration of these three series, and from study of similar series of cases reported in the literature, it is suggested that routine operative treatment of trochanteric fractures has the advantages of greater comfort and mobility of the patient, lowered mortality, and economy of hospital beds. 4. Certain features of the operation of internal fixation by the Capener-Neufeld nail-plate are discussed. A director, for more efficient insertion of the nail-plate, is described. 5. The importance of early mobility after operation is emphasized. Only a small proportion of Patients can be allowed early weight-bearing but almost all can be got up in a chair, and most can be taught to get about with crutches, without weight-bearing on the fractured limb, within a few days of operation.
E. Mervyn Evans (Sun,) conducted a observational in Trochanteric fractures of the femur (n=148). Operative treatment (fixation with a Capener-Neufeld nail-plate) vs. Conservative treatment in hospital or at home was evaluated on Comfort, mobility, mortality, and economy of hospital beds. In a review of 148 cases, operative treatment of trochanteric fractures using a Capener-Neufeld nail-plate was suggested to lower mortality and improve mobility compared to conservative care.