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dynamic hip screw versus gamma nail

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https://www.readbyqxmd.com/read/25453927/proximal-femoral-nails-antirotation-gamma-nails-and-dynamic-hip-screws-for-fixation-of-intertrochanteric-fractures-of-femur-a-meta-analysis
#1
K-L Ma, X Wang, F-J Luan, H-T Xu, Y Fang, J Min, H-X Luan, F Yang, H Zheng, S-J He
BACKGROUND: Which surgical strategy is the best one for intertrochanteric fractures remains a controversial issue. Dynamic hip screw (DHS) and Gamma nail were commonly used but often associated with some complications, such as fixation failure and implant-related fractures. Meanwhile, proximal femoral nail anti-rotation (PFNA) fixation has recently been developed for minimally invasive surgery to reduce the complications rate. To facilitate the clinical decision-making, we conducted an updated meta-analysis to discuss the optimal treatment of intertrochanteric fractures aiming to determine which implant gives the lower rates of blood loss, complications (peri-implant fracture, fixation failure, infection, thromboembolic), reoperation, and mortality, as well as the minimal duration related to surgery (fluoroscopic exposure, surgery and hospital stay)...
December 2014: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/25212485/intramedullary-nails-for-extracapsular-hip-fractures-in-adults
#2
REVIEW
Joseph M Queally, Ella Harris, Helen H G Handoll, Martyn J Parker
BACKGROUND: Intramedullary nails may be used for the surgical fixation of extracapsular hip fractures in adults. This is an update of a Cochrane review first published in 2005 and last updated in 2008. OBJECTIVES: To assess the effects (benefits and harms) of different designs of intramedullary nails for treating extracapsular hip fractures in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (6 January 2014), the Cochrane Central Register of Controlled Trials (The Cochrane Library Issue 12, 2013), MEDLINE (1966 to November Week 3, 2013), MEDLINE In-Process & Other Non-Indexed Citations (3 January 2014), EMBASE (1988 to 2014, Week 1) and the World Health Organization (WHO) International Clinical Trials Registry Platform (accessed January 2014)...
2014: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/22439235/a-biomechanical-comparison-of-static-versus-dynamic-lag-screw-modes-for-cephalomedullary-nails-used-to-fix-unstable-peritrochanteric-fractures
#3
COMPARATIVE STUDY
Paul R T Kuzyk, Suraj Shah, Rad Zdero, Michael Olsen, James P Waddell, Emil H Schemitsch
BACKGROUND: The gamma nail has an option to statically lock its lag screw (static mode) or to allow its lag screw to move within the nail to compress the intertrochanteric fracture (dynamic mode). The purpose of this study was to compare the biomechanical stiffness of static and dynamic lag screw modes for a cephalomedullary nail used to fix an unstable peritrochanteric fracture. METHODS: Unstable four-part peritrochanteric fractures were created in 30 synthetic femurs and fixed with Long Gamma 3 Nails...
February 2012: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/21819714/biochemical-markers-comparison-of-dynamic-hip-screw-and-gamma-nail-implants-in-the-treatment-of-stable-intertrochanteric-fracture-a-prospective-study-of-60-patients
#4
W Song, Y Chen, H Shen, T Yuan, C Zhang, B Zeng
This prospective study compared the extent of surgical trauma following dynamic hip screw (DHS) or Gamma nail (GN) implantation in 60 patients (≥ 60 years old) with stable intertrochanteric fracture. Levels of the biochemical markers creatinine kinase (CK) and C-reactive protein (CRP) were measured pre- and postoperatively. CRP levels were statistically significantly lower on postoperative days 1 and 2 in patients in the DHS versus the GN group; no other differences were observed. Surgical procedures for DHS implantation were considered less invasive than those for GN implantation, although the degree of muscle damage was similar in both groups...
2011: Journal of International Medical Research
https://www.readbyqxmd.com/read/21387175/prospective-randomised-study-comparing-screw-versus-helical-blade-in-the-treatment-of-low-energy-trochanteric-fractures
#5
RANDOMIZED CONTROLLED TRIAL
Richard Stern, Anne Lübbeke, Domizio Suva, Hermes Miozzari, Pierre Hoffmeyer
PURPOSE: The purpose of this study was to compare femoral head placement, rates of reoperation and cephalic implant cut-out of a screw versus a blade for patients over age 60 with low energy trochanteric fractures (AO/OTA 31-A1, A2, and A3) treated either with sliding hip screw or cephalomedullary nail. METHODS: After surgeon selection of either hip screw or nail, hip screw patients were randomised to either a DHS (dynamic hip system screw) or DHS blade (dynamic hip system blade), while nail patients were randomised to either a Gamma3 Trochanteric Nail or a PFNA (proximal femoral nail antirotation)...
December 2011: International Orthopaedics
https://www.readbyqxmd.com/read/19219808/the-trochanteric-gamma-nail-versus-the-dynamic-hip-screw-a-prospective-randomised-study-one-year-follow-up-of-146-intertrochanteric-fractures
#6
O Ovesen, M Andersen, T Poulsen, T Nymark, S Overgaard, N D Rock
In a prospective, randomized trial we compared the trochanteric gamma nail (TGN) and the dynamic hip screw (DHS) in the treatment of 146 intertrochanteric fractures. Follow-up was after four and 12 months. The operation time was significantly shorter in the DHS group. At discharge the need for walking aids was less in the DHS group. There were no differences in intraoperative blood loss, medical complications, mortality or length of hospital stay. Major fracture complications occurred twiceas often in the TGN group compared with the DHS group, however they were not statistically significant...
October 2006: Hip International: the Journal of Clinical and Experimental Research on Hip Pathology and Therapy
https://www.readbyqxmd.com/read/18646058/gamma-and-other-cephalocondylic-intramedullary-nails-versus-extramedullary-implants-for-extracapsular-hip-fractures-in-adults
#7
REVIEW
Martyn J Parker, Helen H G Handoll
BACKGROUND: Two types of implants used for the surgical fixation of extracapsular hip fractures are cephalocondylic intramedullary nails, which are inserted into the femoral canal proximally to distally across the fracture, and extramedullary implants (e.g. the sliding hip screw). OBJECTIVES: To compare cephalocondylic intramedullary nails with extramedullary implants for extracapsular hip fractures in adults. SEARCH STRATEGY: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (June 2007), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2007, Issue 2), MEDLINE (1966 to June week 3 2007), EMBASE (1988 to 2007 Week 27), the UK National Research Register, orthopaedic journals, conference proceedings and reference lists of articles...
2008: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/16856070/intramedullary-nails-for-extracapsular-hip-fractures-in-adults
#8
REVIEW
M J Parker, H H G Handoll
BACKGROUND: Intramedullary nails may be used for the surgical fixation of extracapsular hip fractures in adults. They may be inserted from the top (cephalocondylic) or from the bottom (condylocephalic) end of the femur. OBJECTIVES: To compare different types or design modifications of intramedullary nails used in the fixation of extracapsular hip fractures. SEARCH STRATEGY: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (March 2006), the Cochrane Central Register of Controlled Trials (The Cochrane Library Issue 1, 2006), MEDLINE, EMBASE, the UK National Research Register, several orthopaedic journals, conference proceedings and reference lists of articles...
2006: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/16235272/gamma-and-other-cephalocondylic-intramedullary-nails-versus-extramedullary-implants-for-extracapsular-hip-fractures-in-adults
#9
REVIEW
M J Parker, H H G Handoll
BACKGROUND: Two types of implants used for the surgical fixation of extracapsular hip fractures are cephalocondylic intramedullary nails, which are inserted into the femoral canal proximally to distally across the fracture, and extramedullary implants. OBJECTIVES: To compare cephalocondylic intramedullary nails with extramedullary implants (e.g. the sliding hip screw) for extracapsular hip fractures in adults. SEARCH STRATEGY: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register (June 2005), the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, the UK National Research Register, orthopaedic journals, conference proceedings and reference lists of articles...
2005: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/15846737/intramedullary-nails-for-extracapsular-hip-fractures-in-adults
#10
REVIEW
M J Parker, H H G Handoll
BACKGROUND: Intramedullary nails may be used for the surgical fixation of extracapsular hip fractures in adults. They may be inserted from the top (cephalocondylic) or from the bottom (condylocephalic) end of the femur. OBJECTIVES: To compare different types or design modifications of intramedullary nails used in the fixation of extracapsular hip fractures. SEARCH STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group specialised register (September 2004), the Cochrane Central Register of Controlled Trials (The Cochrane Library Issue 3, 2004), MEDLINE (1966 to September week 1 2004), EMBASE (1988 to 2004 Week 37), the UK National Research Register Issue 2, 2004, several orthopaedic journals, conference proceedings and reference lists of articles...
2005: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/14973946/gamma-and-other-cephalocondylic-intramedullary-nails-versus-extramedullary-implants-for-extracapsular-hip-fractures
#11
REVIEW
M J Parker, H H G Handoll
BACKGROUND: Cephalocondylic intramedullary nails, which are inserted proximally to distally (cephalocondylic), have been used for the surgical treatment of extracapsular hip fractures. OBJECTIVES: To compare all cephalocondylic intramedullary nails with extramedullary implants for the surgical treatment of extracapsular hip fractures in adults. This is the fourth substantive update of our original review which compared the Gamma nail with the sliding hip screw (SHS)...
2004: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/12942196/unstable-subtrochanteric-fractures-gamma-nail-versus-dynamic-condylar-screw
#12
COMPARATIVE STUDY
Andrés J Pakuts
We reviewed the operative treatment of subtrochanteric fractures. Before 1999, 15 fractures were treated with a dynamic condylar screw (DCS) and after 1999, 11 fractures were treated with a gamma nail (GN). The mean age of all patients was 70 (31-92) years, and the mean follow up was 16 (9-30) months for the DCS group and 14 (6-26) months for the GN group. All fractures united. There were no infections or implant cut out. In the DCS group, there was one malunion in varus and one late fracture of the implant...
February 2004: International Orthopaedics
https://www.readbyqxmd.com/read/12519535/gamma-and-other-cephalocondylic-intramedullary-nails-versus-extramedullary-implants-for-extracapsular-hip-fractures
#13
REVIEW
M J Parker, H H Handoll
BACKGROUND: Cephalocondylic intramedullary nails which are inserted proximally to distally (cephalocondylic) have been used for the surgical treatment of extracapsular hip fractures. OBJECTIVES: To compare all cephalocondylic intramedullary nails with extramedullary implants for the surgical treatment of extracapsular hip fractures in adults. This is the third substantive update of our original review which compared the Gamma nail with the sliding hip screw (SHS)...
2002: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/11869563/gamma-and-other-cephalocondylic-intramedullary-nails-versus-extramedullary-implants-for-extracapsular-hip-fractures
#14
REVIEW
M J Parker, H H Handoll
BACKGROUND: Cephalocondylic intramedullary nails which are inserted proximally to distally (cephalocondylic) have been used for the surgical treatment of extracapsular hip fractures. OBJECTIVES: To compare all cephalocondylic intramedullary nails with extramedullary implants for the surgical treatment of extracapsular hip fractures in adults. This is the third update of our original review which compared the Gamma nail with the sliding hip screw (SHS). SEARCH STRATEGY: We searched the Cochrane Musculoskeletal Injuries Group trials register, MEDLINE, select orthopaedic journals and conference proceedings, and reference lists of relevant articles...
2002: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/11514765/prospective-randomized-controlled-trial-of-an-intramedullary-nail-versus-dynamic-screw-and-plate-for-intertrochanteric-fractures-of-the-femur
#15
RANDOMIZED CONTROLLED TRIAL
C I Adams, C M Robinson, C M Court-Brown, M M McQueen
OBJECTIVES: To compare the surgical complications and functional outcome of the Gamma nail intramedullary fixation device versus the Richards sliding hip screw and plate device in intertrochanteric femoral fractures. DESIGN: A prospective, randomised controlled clinical trial with observer blinding. SETTING: A regional teaching hospital in the United Kingdom. PATIENTS: All patients admitted from the local population with intertrochanteric fractured femurs were included...
August 2001: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/7497366/fixation-of-intertrochanteric-hip-fractures-gamma-nail-versus-dynamic-hip-screw-a-randomized-prospective-study
#16
RANDOMIZED CONTROLLED TRIAL
P J O'Brien, R N Meek, P A Blachut, H M Broekhuyse, S Sabharwal
OBJECTIVE: To compare the efficacy of the gamma nail (GN) to the dynamic hip screw (DHS) in the management of intertrochanteric hip fractures. DESIGN: Randomized, prospective clinical trial with a mean follow-up of 52 weeks (range from 11 to 82 weeks). SETTING: A university teaching hospital. PATIENTS: One hundred and one patients with 102 fractures: 49 fractures were treated with the DHS and 53 fractures were treated with the GN...
December 1995: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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