Proximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparison

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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.date.accessioned2019-05-13T09:07:13Z
dc.date.available2019-05-13T09:07:13Z
dc.date.issued2015
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
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.
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.
dc.identifier.doi10.1007/s00068-014-0463-y
dc.identifier.endpage400en_US
dc.identifier.issn1863-9933
dc.identifier.issue4en_US
dc.identifier.scopusqualityQ1
dc.identifier.startpage393en_US
dc.identifier.urihttps://doi.org/10.1007/s00068-014-0463-y
dc.identifier.urihttps://hdl.handle.net/11491/1752
dc.identifier.volume41en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherSpringer Berlin
dc.relation.ispartofEuropean Journal of Trauma and Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectHip Fractureen_US
dc.subjectHip Screwen_US
dc.subjectOsteoporosisen_US
dc.subjectProximal Femoral Nailen_US
dc.titleProximal femoral nail antirotation against dynamic hip screw for unstable trochanteric fractures; a prospective randomized comparison
dc.typeArticle

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