This study was performed to compare outcomes of the Trochanteric Fixation Nail ( TFN® ) with a coiling sword versus TFN® with a femoral neck prison guard for the discussion of intertrochanteric femoral fractures .
With an aging population, the number of intertrochanteric femoral fractures treated each year continues to rise. In 2014, 16,000 people in the Netherlands were registered with a hep fracture 1, 2 ). Of these, approximately 14,000 were caused by a fall and three quarters of the patients were older than 80 years. The distribution between men and women was 1:3. twenty-five percentage of patients with a hip fault are left permanently disabled and 25 % die within the first class. approximately 50 % of the patients with a hip fracture can return to their own home environment after hospitalization 1, 3 ). The total annual costs of all hip fractures in the Netherlands are estimated to be €300 million 1, 3, 4 ).
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running treatment of a hep fracture remains the best choice as it helps create an anatomic reduction of the fracture, stable fixation, and maintenance of blood supply, thereby providing an opportunity for early and full slant bearing with mobilization. As a result, the postoperative risks from immobilization—e.g., deep vein thrombosis and air lane problems-sharply decrease 1, 5 ).
The coiling blade received regulative approval in 2005 and was designed to provide stronger fixation through impaction of the cancellate bone which should increase resistance to cut-out 6, 7 ). however, several randomized controlled trials comparing coiling blade with the interim cheat in intramedullary fixations have demonstrated greatly different outcomes compared with published data and theoretical concepts 7, 8, 9, 10, 11, 12 ). The option of implant used for surgical treatment of intertrochanteric femoral fractures depends on the surgeons ‘ preference, not on empiric data or indication. Within the Department of Trauma Surgery, no consensus exists regarding the type of collum implant to be used in when surgically treating patients with an intertrochanteric femoral fracture. This study aimed to assess if there were any differences in outcomes ( i, cut-out and/or interventional variables ) between a the Trochanteric Fixation Nail ( TFN® ; Synthes, Raynham, MA, USA ) with coiling blade and a TFN® with femoral neck screw when applied to surgical treatment of intertrochanteric femoral fractures .