Comparison of Intra- and Extramedullary Implants in Treatment of Unstable Intertrochanteric Fractures

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dc.contributor.authorDuymus T.M.
dc.contributor.authorAydogmus S.
dc.contributor.authorUlusoy İ.
dc.contributor.authorKececi T.
dc.contributor.authorAdiyeke L.
dc.contributor.authorDernek B.
dc.contributor.authorMutlu S.
dc.date.accessioned2024-07-12T21:50:39Z
dc.date.available2024-07-12T21:50:39Z
dc.date.issued2019en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractIntroduction: Comparison was made of the clinical and radiological results of the surgical treatments of proximal femoral nail (PFN), dynamic hip screw (DHS) or proximal femoral locking compression plate (PF-LCP) in patients with AO 31A2.2/2.3 unstable intertrochanteric femoral fracture(ITF). Methods: Evaluation was made of a total of 91 patients in respect of age, gender, time from fracture to surgery, operating time, amount of blood replacement, total hospitalisation, follow-up period, time to full weight-bearing, time to union, complications and Harris hip scores(HHS). Results: A statistically significant difference was determined between the groups in respect of perioperative operating time, blood replacement and hospitalisation period with the values of the PFN group seen to be superior to those of the other two groups (p < 0.001). No significant difference was determined beween the DHS and PFN groups in respect of time to union and in the long-term HHS, both groups were seen to be superior to the PF-LCP group (p < 0.001). Full weight-bearing was statistically significantly earlier in the PFN group (p < 0.001). The numbers of implant failures was statistically significantly higher in the PF-LCP group (p < 0.001). Conclusion: The new generation intra-medullar nails are easy to apply and have more successful clinical results compared to extra-medullar implants in the treatment of A2 unstable ITF. Due to the high rates of implant failure, PF-LCP should not be preferred in these fractures. © 2018en_US
dc.identifier.doi10.1016/j.jcot.2018.04.003
dc.identifier.endpage295en_US
dc.identifier.issn0976-5662
dc.identifier.issue2en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage290en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.jcot.2018.04.003
dc.identifier.urihttps://hdl.handle.net/20.500.12415/8174
dc.identifier.volume10en_US
dc.language.isoenen_US
dc.publisherElsevier B.V.en_US
dc.relation.ispartofJournal of Clinical Orthopaedics and Traumaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY01856
dc.subjectDynamic hip screwen_US
dc.subjectProximal femoral nailen_US
dc.subjectProximal femur locking compression plateen_US
dc.subjectUnstable intertrochanteric fractureen_US
dc.titleComparison of Intra- and Extramedullary Implants in Treatment of Unstable Intertrochanteric Fracturesen_US
dc.typeArticle
dspace.entity.typePublication

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