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dc.contributor.authorZehir, Sinan
dc.contributor.authorZehir, Regayip
dc.contributor.authorZehir, Sultan
dc.contributor.authorAzboy, İbrahim
dc.contributor.authorHaykır, Nahide
dc.identifier.citationZehir, S., Zehir, R., Zehir, S., Azboy, İ., Haykır, N. (2015). Proximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparison. European Journal of Trauma and Emergency Surgery, 41(4), 393-400.en_US
dc.description.abstractAim: We sought to determine whether intramedullary fixation with proximal femoral nail antirotation produces comparable outcomes to dynamic hip screw in the treatment of unstable trochanteric fractures. Materials and methods: Patients were randomly allocated to receive proximal femoral nail antirotation (Group 1, n = 96, mean age; 77.22 ± 6.82 years) or dynamic hip screw (Group 2, n = 102, mean age; 76.86 ± 6.74 years). Outcome measures were time of operation and fluoroscopy, amount of blood loss and occurrence of surgery-related complications. Tip–apex distance and femoral neck shortening were also evaluated. Patients were evaluated at the sixth month to assess the recovery of walking ability. Survival information was obtained from a civil registry. Results: Operative and fluoroscopy times were significantly shorter and blood loss was significantly lower in Group 1 than those in Group 2. Complication rates, mean tip–apex indices and recovery of walking ability were similar between groups, whereas independent walking was more common in Group 1 than in Group 2. Until the sixth month, screw cutout occurred in eight (7.8 %) and seven (7.3 %) patients in Group 1 and Group 2, respectively (p = 0.88). Three-year survival rate was 61.6 ± 9.4 vs 57.3 ± 9.7 % in Group 1 and Group 2, respectively (p = 0.50). Conclusion: Proximal femoral nail antirotation technique offers better recovery than dynamic hip screw, whereas both techniques possess the same risk of postoperative complications. © 2014, Springer-Verlag Berlin Heidelberg.en_US
dc.publisherSpringer Berlinen_US
dc.subjectHip Fractureen_US
dc.subjectHip Screwen_US
dc.subjectProximal Femoral Nailen_US
dc.titleProximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparisonen_US
dc.relation.journalEuropean Journal of Trauma and Emergency Surgeryen_US
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US

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