Acta Orthop Belg
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Comparative Study
Biomechanical and clinical comparison of single lateral plate and double plating of comminuted supracondylar femoral fractures.
This study was to compare the relative strength of fixation and clinical outcomes of single lateral plate and double plating of comminuted supracondylar femoral fractures. Eight matched pairs of embalmed cadaveric femurs were selected. A gap osteotomy was created to stimulate an AO/OTA A3 comminuted distal femoral fracture. ⋯ However, there was no significant difference between the SPG and the DPG in terms of blood loss, time to union, complication rate, VAS, ROM and Neer knee score. Double plating proved stronger than single lateral plate in biomechanical testing; however, double plating was not superior to traditional lateral plating in clinical outcomes. Therefore, we do not recommend double plating as a routine fixation of comminuted supracondylar femoral fractures.
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Comparative Study
A comparison of the InterTan nail and proximal femoral fail antirotation in the treatment of reverse intertrochanteric femoral fractures.
The aim of this study was to compare the clinical and radiological results of InterTan nail and proximal femoral nail antirotation (PFNA) in the treatment of reverse intertrochanteric fractures (AO/OTA 31-A3). The study included a total of consecutive patients who presented at trauma centre with a reverse intertrochanteric fracture between in the last 7 years. Treatment was applied with PFNA in 33 patients and with InterTan nail in 36. ⋯ Cut-out was observed in 4 cases of the PFNA group and in none of the InterTan group. No statistically significant difference was determined between the groups in respect of time to union and functional scores (p = 0.573 and p = 0.294). The use of InterTan nailing in the fixation of reverse intertrochanteric fractures provided better clinical and radiological results compared to PFNA in terms of less telescoping, less change in the neck shaft angle and lower complication rates.