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October 1, 1988Journal of Bone and Joint Surgery

Unstable intertrochanteric fractures of the hip. Treatment with Ender pins compared with a compression hip-screw.

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Why the study?

Does treatment with Ender pins reduce secondary operations and loss of fixation compared with a compression hip-screw in patients with unstable intertrochanteric fractures of the hip?

Population

Patients with unstable intertrochanteric fractures of the hip (more than 100 patients in each treatment group)

Comparison

Ender pins vs Compression hip-screw

Design

RCT, randomized

Follow-up

6 months

Authors

ISIngemar SernboThe University of MelbourneOJOlof JohnellUppsala UniversityCGCarl-Fredrik GentzLund University

Discussion

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Implication

Compression hip-screw preferred over Ender pins to minimize reoperations; supports abandoning Ender pins for unstable intertrochanteric fractures.

Structured PICO

Does treatment with Ender pins reduce secondary operations and loss of fixation compared with a compression hip-screw in patients with unstable intertrochanteric fractures of the hip?

P
Population
Patients with unstable intertrochanteric fractures of the hip (more than 100 patients in each treatment group)
I
Intervention
Ender pins
C
Comparator
Compression hip-screw
O
Outcome
Secondary operations and loss of fixation at 6 months postoperativelyhard clinical

Ender pins are associated with a higher rate of secondary operations and loss of fixation compared to compression hip-screws for unstable intertrochanteric hip fractures.

Cite This Study

Sernbo et al. (1988) studied this question.

synapsesocial.com/papers/6a093119b7dd28a06e160992https://doi.org/10.2106/00004623-198870090-00003
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ender Rod Versus Compression Screw Fixation of Hip Fractures1985 · 39 citations
  2. 2Unstable Intertrochanteric/Subtrochanteric Fractures of the Femur1990 · 48 citations
  3. 3Cannulated Cancellous Screw and Ender’s Nail Fixation in Stable Intertrochanteric Femur Fracture in Elderly Patient With Co-Morbid Condition2019
  4. 4Intramedullary Versus Extramedullary Fixation for the Treatment of Intertrochanteric Hip Fractures1998 · 382 citations
  5. 5Treatment of Unstable Intertrochanteric Fractures with Anatomic Reduction and Compression Hip Screw Fixation1983 · 88 citations