Dynamic hip screws versus proximal femoral nails for intertrochanteric fractures

Avakian, Z; Shiraev, T; Lam, L; Hope, N

Dynamic hip screws versus proximal femoral nails for intertrochanteric fractures

Avakian, Z Shiraev, T Lam, L

Hope, N

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Publication Type:: Journal Article
Citation:: ANZ Journal of Surgery, 2012, 82 (1-2), pp. 56 - 59
Issue Date:: 2012-01-01

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Field	Value	Language
dc.contributor.author	Avakian, Z	en_US
dc.contributor.author	Shiraev, T	en_US
dc.contributor.author	Lam, L https://orcid.org/0000-0001-6183-6854	en_US
dc.contributor.author	Hope, N	en_US
dc.date.issued	2012-01-01	en_US
dc.identifier.citation	ANZ Journal of Surgery, 2012, 82 (1-2), pp. 56 - 59	en_US
dc.identifier.issn	1445-1433	en_US
dc.identifier.uri	http://hdl.handle.net/10453/117082
dc.description.abstract	Background: It is essential to determine the optimal treatment of intertrochanteric fractures due to their high incidence and related public health burden. Debate remains as to whether dynamic hip screws (DHS) or proximal femoral nails (PFNs) are best practice, and this pilot study seeks to collect information relevant to this query. Methods: We undertook a retrospective audit of 144 patients who received a dynamic hip screw or a proximal femoral nail in order to compare age, sex, duration of surgery, duration of hospitalization, time of first mobilization, and rate anaemia, sepsis, avascular necrosis, prosthesis failure, revision, deep vein thrombosis, pulmonary embolus, non-ST elevation myocardial infarction, common peroneal nerve palsy and death between implantation of a DHS and a PFN. Results: No differences were found between groups in age, duration of surgery, duration of hospitalization, time of first mobilization and rate of complications. Statistically significant differences were found in sex distributions, operation time and length of stay. However, analysis of median operation time and length of stay when adjusted for sex revealed no significant differences. Conclusion: This study demonstrated no statistically significant differences in peri- and post-operative measures between patients undergoing intertrochanteric fracture fixation via PFN or DHS. This is the only data from Australian hospitals, and further national research is needed. © 2011 The Authors. ANZ Journal of Surgery © 2011 Royal Australasian College of Surgeons.	en_US
dc.relation.ispartof	ANZ Journal of Surgery	en_US
dc.relation.isbasedon	10.1111/j.1445-2197.2011.05929.x	en_US
dc.subject.classification	Surgery	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Hip Fractures	en_US
dc.subject.mesh	Postoperative Complications	en_US
dc.subject.mesh	Treatment Outcome	en_US
dc.subject.mesh	Length of Stay	en_US
dc.subject.mesh	Fracture Fixation, Internal	en_US
dc.subject.mesh	Multivariate Analysis	en_US
dc.subject.mesh	Regression Analysis	en_US
dc.subject.mesh	Retrospective Studies	en_US
dc.subject.mesh	Pilot Projects	en_US
dc.subject.mesh	Bone Nails	en_US
dc.subject.mesh	Bone Screws	en_US
dc.subject.mesh	Recovery of Function	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Dynamic hip screws versus proximal femoral nails for intertrochanteric fractures	en_US
dc.type	Journal Article
utslib.citation.volume	1-2	en_US
utslib.citation.volume	82	en_US
utslib.for	1103 Clinical Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.issue	1-2	en_US
pubs.publication-status	Published	en_US
pubs.volume	82	en_US

Abstract:

Background: It is essential to determine the optimal treatment of intertrochanteric fractures due to their high incidence and related public health burden. Debate remains as to whether dynamic hip screws (DHS) or proximal femoral nails (PFNs) are best practice, and this pilot study seeks to collect information relevant to this query. Methods: We undertook a retrospective audit of 144 patients who received a dynamic hip screw or a proximal femoral nail in order to compare age, sex, duration of surgery, duration of hospitalization, time of first mobilization, and rate anaemia, sepsis, avascular necrosis, prosthesis failure, revision, deep vein thrombosis, pulmonary embolus, non-ST elevation myocardial infarction, common peroneal nerve palsy and death between implantation of a DHS and a PFN. Results: No differences were found between groups in age, duration of surgery, duration of hospitalization, time of first mobilization and rate of complications. Statistically significant differences were found in sex distributions, operation time and length of stay. However, analysis of median operation time and length of stay when adjusted for sex revealed no significant differences. Conclusion: This study demonstrated no statistically significant differences in peri- and post-operative measures between patients undergoing intertrochanteric fracture fixation via PFN or DHS. This is the only data from Australian hospitals, and further national research is needed. © 2011 The Authors. ANZ Journal of Surgery © 2011 Royal Australasian College of Surgeons.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/117082