| Popis: |
In this review, we aimed to compare the radiological and functional outcomes between the helical blade and lag screw in treating intertrochanteric fractures among the elderly and to provide suggestions for clinical treatment.Between January 1A total of 11 articles containing 1,146 patients for helical blade and lag screw comparison were included. Compared to the lag screws, the mechanical failure rate (odds ratio [OR]=0.71, 95% confidence interval [CI]: 0.40-1.27, p=0.25), the excellent and good rate of fracture reduction (OR=1.33, 95% CI: 0.61-2.90, p=0.48), HHS (mean differences 1.83, 95% CI: -0.29-1.83, p=0.09), and postoperative hip pain (OR=0.41, 95% CI: 0.14-1.21, p=0.11) were similar with the helical blades. There was no significant difference between the two implants in terms of the treatment outcomes.Both helical blades and lag screws are good choices for treating intertrochanteric fracture among elderly. |
