tailieunhanh - báo cáo hóa học:" Comparing two intramedullary devices for treating trochanteric fractures: A prospective study"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Comparing two intramedullary devices for treating trochanteric fractures: A prospective study | Makridis et al. Journal of Orthopaedic Surgery and Research 2010 5 9 http content 5 1 9 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH RESEARCH ARTICLE Open Access Comparing two intramedullary devices for treating trochanteric fractures A prospective study Konstantinos G Makridis Vasileios Georgaklis Miltiadis Georgoussis Vasileios Mandalos Vasileios Kontogeorgakos Leonidas Badras Abstract Background Intertrochanteric fractures are surgically treated by using different methods and implants. The optional type of surgical stabilization is still under debate. However between devices with the same philosophy different design characteristics may substantially influence fracture healing. This is a prospective study comparing the complication and final functional outcome of two intramedullary devices the intramedullary hip screw IMHS and the ENDOVIS nail. Materials and methods Two hundred fifteen patients were randomized on admission in two treatment groups. Epidemiology features and functional status was similar between two treatment groups. Fracture stability was assessed according to the Evan s classification. One hundred ten patients were treated with IMHS and 105 with ENDOVIS nail. Results There were no significant statistical differences between the two groups regarding blood loss transfusion requirements and mortality rate. In contrast the number of total complications was significantly higher in the ENDOVIS nail group. Moreover the overall functional and walking competence was superior in the patients treated with the IMHS nail. Conclusions These results indicate that the choice of the proper implant plays probably an important role in the final outcome of surgical treatment of intertrochanteric fractures. IMHS nail allows for accurate surgical technique for both static and dynamic compression and high rotational stability. IMHS nail proved more reliable in our study regarding nail insertion and overall uncomplicated outcome. Introduction .