Treatment of pertrochanteric fractures (OTA 31-A1 and A2): long versus short cephalomedullary nailing.
J Orthop Trauma
; 27(6): 318-24, 2013 Jun.
Article
em En
| MEDLINE
| ID: mdl-22955331
ABSTRACT
OBJECTIVES:
To retrospectively compare the clinical outcomes in patients with pertrochanteric femur fractures without subtrochanteric extension (OTA 31-A1 and A2) after treatment with short or long cephalomedullary nails.DESIGN:
Retrospective study.SETTING:
Academic level I trauma center. PATIENTS Two hundred eighty three adult patients presenting with simple or multifragmentary pertrochanteric femur fractures (OTA 31-A1 and A2) between 2004 and 2009 qualified for inclusion in this study. INTERVENTION One hundred patients were treated with a short cephalomedullary nail and 183 with a long cephalomedullary nail. MAIN OUTCOME MEASUREMENTS Patient demographics and medical comorbidities were recorded for each patient via an electronic medical record. Treatment-related variables including the American Society of Anesthesiologists (ASA) score, duration of surgery, volume of intraoperative blood loss, need for blood products, treatment-related complications, and mortality were recorded and compared between the short and long nail groups.RESULTS:
There were no significant difference between treatment modalities, complication, and reoperation rates for the 2 groups. Treatment with a long nail resulted in subtle increases in procedure time and blood loss.CONCLUSIONS:
No differences in the union and complication rates between the 2 groups were identified, suggesting that long nails offer no advantage compared with short nails for stabilizing simple and multifragmentary pertrochanteric femur fractures without subtrochanteric extension (OTA 31-A1 and A2). LEVEL OF EVIDENCE Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Pinos Ortopédicos
/
Hemorragia Pós-Operatória
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Fraturas do Fêmur
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Duração da Cirurgia
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Fixação Intramedular de Fraturas
Tipo de estudo:
Etiology_studies
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Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Aged80
/
Female
/
Humans
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Male
/
Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Orthop Trauma
Ano de publicação:
2013
Tipo de documento:
Article