This is an outdoors Access article distributed under the terms of the creative Commons Attribution Non-Commercial License ( hypertext transfer protocol : //creativecommons.org/licenses/by-nc/4.0 ) which permits unrestricted non-commercial use, distribution, and replica in any medium, provided the master work is by rights cited. There are no statistically significant differences in primary and secondary coil outcomes following treatment of intertrochanteric femur fracture with the TFN® coiling blade or TFN® femoral neck screw. These findings suggest that the choice of collum implant for the surgical treatment of intertrochanteric femur fractures can not be made based on the surgical outcomes of the two implants evaluated here. A total of 631 patients were surgically treated for an intertrochanteric femoral fracture. Of this group, 239 patients ( 37.9 % ) were treated with a TFN® with coiling blade and 392 patients ( 62.1 % ) with a TFN® with femoral neck screw. There were no statistically significant differences between the baseline characteristics of both groups. A full of 17 ( 2.7 % ) cut-outs were recorded, with no statistically meaning deviation between the two groups ( P=0.19 ). additionally, there were no statistically significant differences in the secondary consequence measures between the two groups. A single center, retrospective cohort study. Patients ( > 18 years of long time ) with an intertrochanteric femoral fracture, who were operated on between January 1, 2012 and December 31, 2016 were included. Primary and secondary result measures were cut-out rate and intervention variables, respectively. Data from x ray examinations and patient checkup files were collected and analyzed. The chi-square test or scholar ‘s t-test were used for statistical psychoanalysis.

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 .

INTRODUCTION

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 ).

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 .

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Category : Nail Technique