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October 1, 2018National Journal of Clinical OrthopaedicsOpen Access

Comparative prospective study of proximal femoral nail and locking compression plate in subtrochanteric fractures of femur

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Why the study?

Does proximal femoral nail improve functional and radiological outcomes compared to locking compression plate in patients with subtrochanteric fractures?

Population

52 patients with subtrochanteric fractures admitted to the department of Orthopaedics, S.M.S. Hospital, Jaipur

Comparison

Proximal femoral nail (PFN) vs Locking compression plate (LCP)

Design

RCT, Random number basis (Chit box method)

Authors

VPVivek PradhanPfizer (United States)SJSubhash C. JainUniversity of DelhiSAShalini AgrawalBabasaheb Bhimrao Ambedkar University

Discussion

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Implication

PFN yields favorable outcomes in subtrochanteric fractures; leaves open comparative efficacy versus plates in randomized trials.

Structured PICO

Does proximal femoral nail improve functional and radiological outcomes compared to locking compression plate in patients with subtrochanteric fractures?

P
Population
52 patients with subtrochanteric fractures admitted to the department of Orthopaedics, S.M.S. Hospital, Jaipur (n=52, 26 per group)
I
Intervention
Proximal femoral nail (PFN)
C
Comparator
Locking compression plate (LCP)
O
Outcome
Radiological and Functional Outcome (evaluated in terms of modified Harris hip score)patient reported

Proximal femoral nail provides better functional outcomes, shorter operative time, and lower infection rates compared to locking compression plates for subtrochanteric femoral fractures.

Cite This Study

Pradhan et al. (2018) studied this question.

synapsesocial.com/papers/6a70220babc331a85807952fhttps://doi.org/10.33545/orthor.2018.v2.i4c.94
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Subtrochanteric fractures of the femur.1978 · 396 citations
  2. 2Intramedullary Versus Extramedullary Fixation for Subtrochanteric Femur Fractures2009 · 91 citations