What is the clinical evidence from this study?

Study design: Observational. Population: Noninfected nonunions following primary open reduction and internal fixation (ORIF) of intertrochanteric femoral fractures (n=20). Intervention: Subsequent operative treatment (repeat ORIF, endoprosthesis, or total hip arthroplasty). Primary outcome: Radiographic union.

What does this research mean for the field?

Repeat open reduction and internal fixation for intertrochanteric femoral fracture nonunions achieves radiographic union in 82% of patients and yields the best functional outcomes. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

May 1, 1987Clinical Orthopaedics and Related Research

Nonunion of Intertrochanteric Fractures of the Femur Following Open Reduction and Internal

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Key result

Repeat ORIF is linked to ~82% radiographic union and best functional outcomes.

n=20

Population

20 patients with noninfected nonunions following primary open reduction and internal fixation of…

Design

Case_series

Follow-up

average 6.6 (0.8-11.9) years

Authors

EMErminia MarianiTanjungpura University JRJames A. RandHospital for Special Surgery

Discussion

Member takes

Overview

May support repeat ORIF for intertrochanteric nonunion; hypothesis-generating from Level 5 data and requires prospective validation.

Study Design

Type

Observational (n=20)

Multicenter

Structured PICO

Population

20 patients (75% female, mean age 63 years) with noninfected nonunions following primary ORIF of intertrochanteric femoral fractures, followed for an average of 6.6 years.

Exposure

Subsequent operative treatment for nonunions (3 endoprostheses, 6 total hip arthroplasties, and 11 repeated attempts at ORIF)

Outcome

Radiographic union and postoperative functional results (modified Harris hip score)

Repeat ORIF is an effective treatment for noninfected nonunions of intertrochanteric femoral fractures, achieving high rates of radiographic union and improved functional outcomes.

Cite This Study

Mariani et al. (1987) conducted an observational in Noninfected nonunions following primary open reduction and internal fixation (ORIF) of intertrochanteric femoral fractures (n=20). Subsequent operative treatment (repeat ORIF, endoprosthesis, or total hip arthroplasty) was evaluated on Radiographic union. Subsequent operative treatment with repeat ORIF achieved radiographic union in 82% of patients and resulted in the best functional outcomes.

synapsesocial.com/papers/6aa63067246eab12a27f42e2 https://doi.org/10.1097/00003086-198705000-00013

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May 1, 1987Clinical Orthopaedics and Related Research

Nonunion of Intertrochanteric Fractures of the Femur Following Open Reduction and Internal

View Full Paper

Ask AI

Bookmark

Key result

Repeat ORIF is linked to ~82% radiographic union and best functional outcomes.

n=20

Population

20 patients with noninfected nonunions following primary open reduction and internal fixation of…

Design

Case_series

Follow-up

average 6.6 (0.8-11.9) years

Authors

EMErminia MarianiTanjungpura University JRJames A. RandHospital for Special Surgery

Discussion

Member takes

Overview

May support repeat ORIF for intertrochanteric nonunion; hypothesis-generating from Level 5 data and requires prospective validation.

Study Design

Type

Observational (n=20)

Multicenter

Structured PICO

Population

20 patients (75% female, mean age 63 years) with noninfected nonunions following primary ORIF of intertrochanteric femoral fractures, followed for an average of 6.6 years.

Exposure

Subsequent operative treatment for nonunions (3 endoprostheses, 6 total hip arthroplasties, and 11 repeated attempts at ORIF)

Outcome

Radiographic union and postoperative functional results (modified Harris hip score)

Repeat ORIF is an effective treatment for noninfected nonunions of intertrochanteric femoral fractures, achieving high rates of radiographic union and improved functional outcomes.

Cite This Study

synapsesocial.com/papers/6aa63067246eab12a27f42e2 https://doi.org/10.1097/00003086-198705000-00013

Also Consider

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