Key result
Zickel nails were associated with fewer cases of loss of fixation or failure of union (4.3%) compared to Jewett nails (23.1%) for subtrochanteric femur fractures.
Why the study?
Does fixation with Zickel nails reduce loss of fixation or failure of union compared to Jewett nails in patients with subtrochanteric femur fractures?
Cohort (n=64)
Does fixation with Zickel nails reduce loss of fixation or failure of union compared to Jewett nails in patients with subtrochanteric femur fractures?
Zickel nails may provide more stable fixation with fewer failures of union compared to Jewett nails for subtrochanteric femur fractures.
Zickel nails may reduce fixation failure in subtrochanteric fractures; leaves open need for RCTs before practice change.
Sixty-four patients with subtrochanteric fractures of the femur treated with internal fixation are reviewed. Twenty-six patients treated with Jewett nails are compared to 23 patients treated with Zickel nails. Total length of hospital stay, time to union, and time to full weightbearing were similar between the two groups. Six patients treated with Jewett nails had loss of fixation or failure of union, compared to only one patient in the Zickel nail group. The comminuted subtrochantericfracture adjacent to the lesser trochanter was frequently associated with complications in the elderly patient.
No takes yet. Share an insight, caveat, or question.
Mark Munson (1983) conducted a cohort in Subtrochanteric fractures of the femur (n=64). Zickel nails vs. Jewett nails was evaluated on Loss of fixation or failure of union. Zickel nails were associated with fewer cases of loss of fixation or failure of union (4.3%) compared to Jewett nails (23.1%) for subtrochanteric femur fractures.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: