OBJECTIVES: The purpose of this study was to compare the functional outcome of patients with ipsilateral intertrochanteric and femoral shaft fractures treated with a reconstruction nail versus a sliding hip screw and retrograde nail. DESIGN: Retrospective cohort study. SETTING: Two level 1 trauma centers. PARTICIPANTS: Twenty-six patients with ipsilateral intertrochanteric and femoral shaft fractures treated between 1993 and 2003 with a reconstruction nail (n=13) or with a sliding hip screw and retrograde nail (n=13). INTERVENTION: Internal fixation with a reconstruction nail or a sliding hip screw and retrograde nail. MAIN OUTCOME MEASUREMENTS: Functional outcome was measured using the Short Form-36 (SF-36), Short Musculoskeletal Functional Assessment (SMFA), and Lower Extremity Functional Scale (LEFS). RESULTS: The average time to follow-up was 49.6 months. Functional outcome was significantly better in the sliding hip screw with retrograde nail group for the role emotional (P=0.001) and mental component scores (P=0.016) of the SF-36. This group also scored better on the LEFS, although not reaching statistical significance (P=0.099). CONCLUSIONS: For most outcome measures, no significant differences in functional outcome scores were observed between the 2 treatment groups. The results of this study suggest the need for a randomized controlled trial with a larger sample size to more definitively compare the 2 fixation constructs.
OBJECTIVES: The purpose of this study was to compare the functional outcome of patients with ipsilateral intertrochanteric and femoral shaft fractures treated with a reconstruction nail versus a sliding hip screw and retrograde nail. DESIGN: Retrospective cohort study. SETTING: Two level 1 trauma centers. PARTICIPANTS: Twenty-six patients with ipsilateral intertrochanteric and femoral shaft fractures treated between 1993 and 2003 with a reconstruction nail (n=13) or with a sliding hip screw and retrograde nail (n=13). INTERVENTION: Internal fixation with a reconstruction nail or a sliding hip screw and retrograde nail. MAIN OUTCOME MEASUREMENTS: Functional outcome was measured using the Short Form-36 (SF-36), Short Musculoskeletal Functional Assessment (SMFA), and Lower Extremity Functional Scale (LEFS). RESULTS: The average time to follow-up was 49.6 months. Functional outcome was significantly better in the sliding hip screw with retrograde nail group for the role emotional (P=0.001) and mental component scores (P=0.016) of the SF-36. This group also scored better on the LEFS, although not reaching statistical significance (P=0.099). CONCLUSIONS: For most outcome measures, no significant differences in functional outcome scores were observed between the 2 treatment groups. The results of this study suggest the need for a randomized controlled trial with a larger sample size to more definitively compare the 2 fixation constructs.
Authors: Carl Johan Hedbeck; Jan Tidermark; Sari Ponzer; Richard Blomfeldt; Gunnar Bergström Journal: Qual Life Res Date: 2010-11-12 Impact factor: 4.147
Authors: Hui Zhang; Xianshang Zeng; Nan Zhang; Dan Zeng; Ping Xu; Lili Zhang; Deng Chen; Weiguang Yu; Xinchao Zhang Journal: J Int Med Res Date: 2017-06-06 Impact factor: 1.671