Unstable trochanteric femoral fractures: extramedullary or intramedullary fixation. Review of literature.

Schipper, I B; Marti, R K; van der Werken, Chr

Schipper, I B; Marti, R K; van der Werken, Chr.

Afiliación

Schipper IB; Department of Surgery, University Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. i.schipper@erasmusmc.nl

Injury ; 35(2): 142-51, 2004 Feb.

Article en En | MEDLINE | ID: mdl-14736471

RESUMEN

For operative treatment of unstable trochanteric fractures two options exist: extramedullary or intramedullary stabilisation. A review of 18 international papers that compared two different treatment methods for trochanteric fractures, in prospective randomised clinical trials, is presented. In view of the overall results, routine use of intramedullary fixation devices is not to be recommended for stable trochanteric fractures. For these fractures one of the sliding hip screw systems provides a safe and simple alternative. For unstable fractures intramedullary implants are (biomechanically) superior. The review shows that clinical advantages of both treatment methods are suggested and advocated, but still remain to be demonstrated on evidence base.

Asunto(s)

Fijación de Fractura/métodos; Fracturas de Cadera/cirugía; Análisis de Varianza; Fenómenos Biomecánicos; Clavos Ortopédicos; Placas Óseas; Tornillos Óseos; Fijación Intramedular de Fracturas/métodos; Fracturas de Cadera/fisiopatología; Humanos; Osteotomía/métodos; Ensayos Clínicos Controlados Aleatorios como Asunto

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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fijación de Fractura / Fracturas de Cadera Tipo de estudio: Clinical_trials Límite: Humans Idioma: En Revista: Injury Año: 2004 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Países Bajos

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