Roland Biber1, Matthias Brem, Hermann Josef Bail. 1. Department of Trauma and Orthopaedic Surgery, Klinikum Nürnberg, Breslauer Strasse 201, Nürnberg, 90471, Germany, biber@klinikum-nuernberg.de.
Abstract
PURPOSE: Internal fixation versus joint replacement for treating intracapsular hip fractures is still a major debate. The Targon FN fixation concept is innovative; two small case series are promising. We present the first larger series. METHODS: We conducted prospective documentation of all Targon FN cases since 2006. The implant was used for all undisplaced fractures, and for displaced fractures in patients of a biological age ≤60 years. Besides demographic data and fracture classification, we analysed infection, haematoma, implant perforation, nonunion and operative revision procedures. RESULTS: In 135 cases (mean age 71 years; average operation time 60 minutes; average hospital stay ten days), we found a surgical complication rate of 16.4%. Conversion to joint replacement was necessary in 9.6%. Complication rate was significantly higher in displaced fractures. CONCLUSIONS: Our study confirms low general complication rates. However, implant perforation seems to be underestimated. Optimised reduction technique may help to reduce this complication.
PURPOSE: Internal fixation versus joint replacement for treating intracapsular hip fractures is still a major debate. The Targon FN fixation concept is innovative; two small case series are promising. We present the first larger series. METHODS: We conducted prospective documentation of all Targon FN cases since 2006. The implant was used for all undisplaced fractures, and for displaced fractures in patients of a biological age ≤60 years. Besides demographic data and fracture classification, we analysed infection, haematoma, implant perforation, nonunion and operative revision procedures. RESULTS: In 135 cases (mean age 71 years; average operation time 60 minutes; average hospital stay ten days), we found a surgical complication rate of 16.4%. Conversion to joint replacement was necessary in 9.6%. Complication rate was significantly higher in displaced fractures. CONCLUSIONS: Our study confirms low general complication rates. However, implant perforation seems to be underestimated. Optimised reduction technique may help to reduce this complication.
Authors: Torsten Johansson; Margareta Bachrach-Lindström; Per Aspenberg; Dick Jonsson; Ola Wahlström Journal: Int Orthop Date: 2005-12-23 Impact factor: 3.075
Authors: Rob J P Körver; Arvid W J Wieland; Sjoerd Kaarsemaker; Jeroen J Nieuwenhuis; Heinrich M J Janzing Journal: Injury Date: 2013-06-13 Impact factor: 2.586