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Citation
Tags
HERO ID
5185442
Reference Type
Journal Article
Title
[The prognostic value of the hip screw position in intertrochanteric fractures]
Author(s)
Csonka, Á; Ecseri, T; Dózsai, D; Csonka, I; Gárgyán, I; Varga, E
Year
2019
Is Peer Reviewed?
1
Journal
Orvosi Hetilap
ISSN:
0030-6002
EISSN:
1788-6120
Volume
160
Issue
9
Page Numbers
338-342
Language
Hungarian
PMID
30798624
DOI
10.1556/650.2019.31328
Web of Science Id
WOS:000459542300003
Abstract
INTRODUCTION:
In our study, we analyzed one of the Hungarian population's most frequent injuries, the hip fracture, focusing mainly on the lateral femoral neck and the pertrochanteric fractures. According to the classification of the Swiss Association for Ostheosynthesis (AO), we focused on 31-A1 and 31-A2 fractures, the incidence of which increases by ageing.
METHOD:
Between 2010 and 2016, we analyzed the data of 1179 patients. All of the fractures were stabilized with intramedullary nails. 992 patients received Stryker Gamma3®, whereas 187 patients' fractures were solved with Synthes PFNA® nail. In all cases, closed reduction method was used with fluoroscopy on an extension table. The surgeries were done in general or epidural anesthesia and performed by traumatology residents or specialists using standard lateral exploration. Data were collected using GEPACS software and statistical analysis was done with MS Excel.
RESULTS:
Cut-out occurred in 33 cases (2,79%): out of that 21 (1.78%) were left sided and 12 were (1,01%) right sided. 29 (87.87%) patients were treated with Gamma3 nail, and in 4 (12,12%) cases PFNA nail was used. The average TAD-index was 18 mm.
CONCLUSION:
According to recommendations of the TAD-index value, when using dynamic hip screw, it should be 20 mm or lower. The average index value was 18 mm which was equal in the complicated and non-complicated groups. Our study shows that the cut-out is independent from the TAD-index value, thus this recommendation cannot be applied for intramedullary nails. Orv Hetil. 2019; 160(9): 338-342.
Tags
PFAS
•
Additional PFAS (formerly XAgency)
•
PFAS 150
Literature Search August 2019
PubMed
Web of Science
Not prioritized for screening
Perfluorononanoic acid
•
PFNA
Literature Search
WOS
PFNA May 2019 Update
Web of Science
LitSearch: May 2019 - May 2020
WoS
Title and Abstract Screening
Excluded
Not relevant to PECO
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