The trochanteric nail versus the sliding hip screw for intertrochanteric hip fractures: a review of 93 cases

The Journal of Trauma
Charles H CrawfordWilliam Sligar

Abstract

The trochanteric nail, a redesigned short gamma nail, (Howmedica, Rutherford, NJ) was introduced in the United States during 1998 for the treatment of intertrochanteric fractures. We retrospectively reviewed 93 patients who were treated for an intertrochanteric fracture with either a sliding hip screw (SHS) or the short trochanteric nail (TN). In all, 94% of the patients in the sliding hip screw group healed without complication. There was one case of femoral head necrosis, one lag screw cutout, and one hardware removal for pain. Eighty-nine percent of the patients in the trochanteric nail group healed without complication. There was one late fracture at the tip of the nail, three cases of lag screw cutout, and one nonunion. This study suggests that the trochanteric nail is a reasonable alternative to the sliding hip screw when used for intertrochanteric fractures, although it may be associated with higher complication rates.

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Citations

Nov 7, 2007·Archives of Orthopaedic and Trauma Surgery·Yoram A WeilDean G Lorich
Apr 12, 2008·The Journal of Trauma·Patrick PlatzerVilmos Vécsei
Jun 29, 2010·BMC Musculoskeletal Disorders·Alicja J BojanAnders Jönsson
Nov 28, 2008·Injury·V S NikolaouP V Giannoudis
Jan 26, 2016·Indian Journal of Orthopaedics·Chandrashekar J ThakkarMalhar N Kumar
May 9, 2016·Archives of Orthopaedic and Trauma Surgery·Adnan KaraMehmet Erdil
Nov 23, 2016·Orthopedics·Nicholas B FrischMichael A Charters
Apr 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Jeffrey O AnglenUNKNOWN American Board of Orthopaedic Surgery Research Committee
Feb 18, 2012·Journal of Orthopaedic Trauma·Paul R T KuzykEmil H Schemitsch
Jul 25, 2019·Journal of Orthopaedic Trauma·Michael J RicciWilliam M Ricci
Nov 4, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Kevin KaplanJoseph D Zuckerman
Dec 21, 2012·Journal of Orthopaedic Surgery·Frankie LeungShew-Ping Chow

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