AIM: To compare the functional and radiographic results of dynamic hip screw (DHS) and expandable proximal femoral nail (EPFN) in the treatment of extracapsular hip fractures. METHODS: A randomized controlled trial of sixty hip fracture patients. Outcomes included mortality, residency, independence, mobility, function and radiographic results at a minimum of 1 year. RESULTS: Twenty-nine EPFN patients demonstrated fewer cases of shaft medialization or femoral offset shortening compared to the 31 DHS patients. Mortality, complications and functional outcomes were similar. CONCLUSION:EPFN provides stable fixation of pertrochanteric hip fractures and prevents neck shortening that is commonly observed after DHS fixation.
RCT Entities:
AIM: To compare the functional and radiographic results of dynamic hip screw (DHS) and expandable proximal femoral nail (EPFN) in the treatment of extracapsular hip fractures. METHODS: A randomized controlled trial of sixty hip fracturepatients. Outcomes included mortality, residency, independence, mobility, function and radiographic results at a minimum of 1 year. RESULTS: Twenty-nine EPFN patients demonstrated fewer cases of shaft medialization or femoral offset shortening compared to the 31 DHSpatients. Mortality, complications and functional outcomes were similar. CONCLUSION: EPFN provides stable fixation of pertrochanteric hip fractures and prevents neck shortening that is commonly observed after DHS fixation.
Entities:
Keywords:
Dynamic hip screw; Expandable; Hip fracture; Offset; Proximal femoral nail
Authors: R K J Simmermacher; J Ljungqvist; H Bail; T Hockertz; A J H Vochteloo; U Ochs; Chr v d Werken Journal: Injury Date: 2008-06-25 Impact factor: 2.586
Authors: Wade R Smith; Bruce Ziran; Juan F Agudelo; Steven J Morgan; Zachery Lahti; Todd Vanderheiden; Allison Williams Journal: J Orthop Trauma Date: 2006-05 Impact factor: 2.512
Authors: Sharon R Lewis; Richard Macey; Joseph Lewis; Jamie Stokes; James R Gill; Jonathan A Cook; William Gp Eardley; Martyn J Parker; Xavier L Griffin Journal: Cochrane Database Syst Rev Date: 2022-02-10