Integrated dual lag screws versus single lag screw cephalomedullary nail constructs: a meta-analysis and systematic review
| Autor: | Jason Derry Onggo, Sina Babazadeh, Parminder J. Singh, Anuruban Ambikaipalan, James Randolph Onggo, Mithun Nambiar |
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| Rok vydání: | 2021 |
| Předmět: |
Lag
Arthroplasty Replacement Hip Bone Screws Bone Nails law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine Lag screw law Medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine Orthodontics 030222 orthopedics Hip fracture business.industry Hip Fractures medicine.disease Fracture Fixation Intramedullary Treatment Outcome Nail (fastener) Surgery business Femoral Fractures |
| Zdroj: | Hip international : the journal of clinical and experimental research on hip pathology and therapy. 32(4) |
| ISSN: | 1724-6067 |
| Popis: | Background/Aim: This study aims to determine the safety and efficacy of integrated dual lag screw (IDL) cephalomedullary nails (CMN) when compared with single lag screw (SL) constructs, in the internal fixation of intertrochanteric femoral fractures. Methods: The Smith & Nephew InterTan IDL was compared with SL CMN group consisting of the Stryker Gamma-3 (G3) and Synthes Proximal Femoral Nail Antirotation (PFNA) CMN. A multi-database search was performed according to PRISMA guidelines. Data from studies assessing the clinical and radiological outcomes, complications and perioperative parameters of InterTan versus G3 or PFNA CMN in patients with intertrochanteric femoral fractures were extracted and analysed. Results: 15 studies were included in this meta-analysis, consisting of 2643 patients. InterTan was associated with lower complication rates in terms of all-cause revisions (OR 0.34; 95% CI, 0.22–0.51; p Conclusions: Integrated dual lag screw cephalomedullary nails are associated with fewer revisions and complications. However, there is insufficient data to suggest that either nail construct is associated with better functional outcomes. |
| Databáze: | OpenAIRE |
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