Key result
Intramedullary devices linked to ~2.5 weeks faster union and better function versus extramedullary devices.
Why the study?
Multiple operative techniques and fixation devices exist for subtrochanteric fractures, with the goal of restoring optimal function rapidly, safely, and dependably.
Do different operative techniques and fixation devices affect clinicoradiological outcomes in patients with subtrochanteric fractures?
Population
38 cases of subtrochanteric fractures and extensions admitted to orthopedics wards
Comparison
Various operative techniques and fixation devices
Design
Prospective study
Authors
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Comparative outcomes of subtrochanteric fracture fixation techniques remain inconclusive in this cohort; prospective trials needed before changing practice.
Cohort (n=38)
No
Do different operative techniques and fixation devices affect clinicoradiological outcomes in patients with subtrochanteric fractures?
Absolute Event Rate: 18% vs 20.5%
Intramedullary devices, particularly the Proximal Femoral Nail, and closed techniques yield the highest proportion of excellent and good clinicoradiological outcomes in the treatment of subtrochanteric fractures.
Pandey et al. (2019) conducted a cohort in Subtrochanteric fractures (n=38). Intramedullary devices vs. Extramedullary devices was evaluated on Average time of radiological union (weeks). Intramedullary devices resulted in faster average radiological union (18 weeks) compared to extramedullary devices (20.5 weeks) and yielded better functional outcomes in patients with subtrochanteric fractures.
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