Does the implant make the difference ? – Prospective comparison of two different proximal femur nails / Sascha Hopp in Acta Orthopaedica Belgica, Vol.82/2 (June 2016)

Public ISBD [article]  inActa Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 319-331 Titre : Does the implant make the difference ? – Prospective comparison of two different proximal femur nails Type de document : texte imprimé Auteurs : Sascha Hopp ; Reiner Wirbel ; Ishaq Ojodu ; [et al...] Année de publication : 2016 Article en page(s) : p. 319-331 Langues : Anglais (eng) Mots-clés : fracture  fémur  chirurgie Résumé : The aim of this study was to compare two proximal femur nails with regard to the complication rate and midterm clinical outcome : the InterTAN nail (ITN) versus the third generation gamma nail (GN). 78 patients older than 60 years with an unstable intertrochanteric femoral fracture (AO/OTA 31 A2/A3) were randomised over a 20 month period into either ITN (n = 39) or GN (n = 39). The outcomes of interest were the perioperative implant-related complications and the functional status (Harris Hip Score) at 6 months postoperatively. In 14 of the ITN and in two of the GN procedures the surgeons rated the implant as cumbersome (p = 0.002). Functional outcome and complication rate did not differ between both groups. The mechanical failure correlated with the positioning of the lag screw independent on the used implant. The surgeon’s technique (closed reduction, positioning of lag screw) and not implant configuration, is of crucial importance in achieving successful outcome. Permalink : ./index.php?lvl=notice_display&id=46100 [article] Does the implant make the difference ? – Prospective comparison of two different proximal femur nails [texte imprimé] / Sascha Hopp ; Reiner Wirbel ; Ishaq Ojodu ; [et al...] . - 2016 . - p. 319-331. Langues : Anglais (eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 319-331 Mots-clés : fracture  fémur  chirurgie Résumé : The aim of this study was to compare two proximal femur nails with regard to the complication rate and midterm clinical outcome : the InterTAN nail (ITN) versus the third generation gamma nail (GN). 78 patients older than 60 years with an unstable intertrochanteric femoral fracture (AO/OTA 31 A2/A3) were randomised over a 20 month period into either ITN (n = 39) or GN (n = 39). The outcomes of interest were the perioperative implant-related complications and the functional status (Harris Hip Score) at 6 months postoperatively. In 14 of the ITN and in two of the GN procedures the surgeons rated the implant as cumbersome (p = 0.002). Functional outcome and complication rate did not differ between both groups. The mechanical failure correlated with the positioning of the lag screw independent on the used implant. The surgeon’s technique (closed reduction, positioning of lag screw) and not implant configuration, is of crucial importance in achieving successful outcome. Permalink : ./index.php?lvl=notice_display&id=46100

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Armoires à volets	Document exclu du prêt - à consulter sur place Exclu du prêt

---

1 (1 - 1 / 1)