Key result
Provisional plating before intramedullary fixation in the lateral decubitus position significantly reduced the rate of malunion compared to other techniques (0% vs 27.7%, P=0.013).
Why the study?
Does provisional plating before intramedullary fixation in the lateral decubitus position reduce malunion rates in patients with subtrochanteric femur fractures?
Population
70 patients with subtrochanteric femur fractures treated between 2011 and 2015
Comparison
Provisional plating before intramedullary… vs Other treatments for subtrochanteric femur…
Design
Cohort
Authors
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Supports provisional plating in subtrochanteric fractures; hypothesis-generating and requires randomized confirmation before practice change.
Observational (n=70)
Does provisional plating before intramedullary fixation in the lateral decubitus position reduce malunion rates in patients with subtrochanteric femur fractures?
Absolute Event Rate: 0% vs 27.7%
p-value: p=0.013
Provisional plating before intramedullary nailing in the lateral decubitus position significantly reduces the rate of malunion in subtrochanteric femur fractures, despite increased blood loss and operative time.
Robertson et al. (2017) conducted an observational in Subtrochanteric femur fractures (n=70). Provisional plating before intramedullary fixation in the lateral decubitus position vs. Other treatments for subtrochanteric femur fractures was evaluated on Malunion (>5 degrees of angulation on postoperative radiographs) (p=0.013). Provisional plating before intramedullary fixation in the lateral decubitus position significantly reduced the rate of malunion compared to other techniques (0% vs 27.7%, P=0.013).
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