Short-term Medical Complications Following Short Versus Long Cephalomedullary Nails

Orthopedics
Jane LiuStuart T Guthrie

Abstract

The purpose of this retrospective cohort study was to evaluate whether there is an increased rate of short-term medical complications following short vs long cephalomedullary nails for the treatment of intertrochanteric hip fractures. A total of 899 patients treated surgically with cephalomedullary nails from January 1, 2005, to September 1, 2014, were included. Patients who received short nails (n=334) were older and had a higher incidence of coronary artery disease and diabetes mellitus compared with patients who received long nails (n=565). The incidences of 30-day medical complications, including myocardial infarction, stroke, deep venous thrombosis, pulmonary embolism, blood transfusion, non-surgical site infection, surgical site infection, and mortality, were recorded. The orthopedic complications of periprosthetic fracture of the ipsilateral hip and implant failure through the latest outpatient follow-up were recorded. No significant difference was found between nails for any studied medical complication (63.5% short vs 66.0% long, P=.4393) or mortality (6.9% short vs 5.3% long, P=.3322). There was also no significant difference in the incidence of orthopedic complications (P=.70). Longer operating room time was associat...Continue Reading

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Citations

Sep 11, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·L Henry GoodnoughJulius A Bishop
Sep 22, 2020·Journal of Orthopaedics·Piers R J PagePiyush K Upadhyay
Jan 24, 2021·Archives of Orthopaedic and Trauma Surgery·Mark E CinqueJulius A Bishop
Sep 22, 2021·The Journal of Bone and Joint Surgery. American Volume·Bjarke VibergSøren Overgaard

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