Why the study?
Does osteotomy improve stability and reduce fixation failures compared to anatomical reduction in patients with unstable intertrochanteric hip fractures?
Population
100 consecutive patients with unstable intertrochanteric hip fractures
Comparison
Two types of osteotomy with fixation by an AO… vs Anatomical reduction with fixation by an AO…
Design
RCT, Randomised
Authors
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Anatomical reduction should be preferred to osteotomy in unstable intertrochanteric fractures; challenges rationale for osteotomy to enhance stability.
Does osteotomy improve stability and reduce fixation failures compared to anatomical reduction in patients with unstable intertrochanteric hip fractures?
Osteotomy provides no clear benefit over anatomical reduction for unstable intertrochanteric hip fractures and is associated with more fixation failures and longer operation times.
Gargan et al. (1994) studied this question.
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