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Clin. Orthop. Relat. Res. · Mar 1998
Randomized Controlled Trial Comparative Study Clinical TrialIntramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures.
- M R Baumgaertner, S L Curtin, and D M Lindskog.
- Department of Orthopaedics and Rehabilitation, School of Medicine, Yale University, New Haven, CT 06520, USA.
- Clin. Orthop. Relat. Res. 1998 Mar 1 (348): 87-94.
AbstractOne hundred thirty-one patients (135 fractures) who sustained an intertrochanteric fracture were assigned randomly to treatment with either a sliding hip screw or an intramedullary hip screw and followed up prospectively. In patients with unstable intertrochanteric fractures, the intramedullary device was associated with 23% less surgical time and 44% less blood loss; however, use of the intramedullary hip screw in patients who had a stable fracture pattern required 70% greater fluoroscopic time. Intraoperative complications occurred exclusively in patients in the intramedullary hip screw group. There were no differences in the rates of functional recovery between the two fixation groups.
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