What is the importance of distal nail diameter in the treatment of intertrochanteric femur fractures?
| Autor: | Yılmaz Ergişi, Erdi Özdemir, Selçuk Korkmazer, Halil Kekeç, Ozan Altun, Nadir Yalçın |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Joint Diseases and Related Surgery. 33:639-644 |
| ISSN: | 2687-4792 2687-4784 |
| DOI: | 10.52312/jdrs.2022.850 |
| Popis: | The aim of this study was to investigate the effect of distal nail diameter in the treatment of geriatric intertrochanteric femur fractures (ITFFs).Between January 2017 and January 2021, a total of 91 patients (34 males, 57 females; mean age: 80.6±7.8 years; range, 65 to 96 years) who had osteosynthesis due to an ITFF with a short cephalomedullary nail (CMN) were retrospectively analyzed. The patients were divided into two groups: Group 1 (n=18) included patients with a distal nail diameter of ≤10 mm and Group 2 (n=73) included patients with a distal nail diameter of10 mm. Patients' age, sex, fracture type according to AO classification, intramedullary femoral canal diameter, canal fit ratio, operation duration, reduction quality, the distal diameter of the CMN, and complications were evaluated.There was no statistically significant difference between Group 1 and Group 2 in terms of the mean age, sex, fracture type, mean intramedullary canal diameter, reduction quality, and implant failure (p0.05). The mean operation duration was significantly shorter in Group 2 (112.9±39.9 min) compared to Group 1 (128.8±36.4 min) (p=0.048). A total of three intraoperative peri-implant fractures occurred which included one 9 mm nail, one 12 mm nail, and one 14 mm nail.Our study results suggest that there is no advantage of using a10-mm CMN in the treatment of geriatric ITFFs in terms of reducing the implant failure rate. However, the utility of a10-mm CMN can reduce the operation duration. |
| Databáze: | OpenAIRE |
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