Cephalomedullary Nailing has a Higher Reoperation Rate Compared to Sliding Hip Screw Fixation in the Treatment of Intertrochanteric Femur Fractures: A Systematic Literature Review and Meta-analysis

被引:5
作者
Amer, Kamil M. [1 ,2 ]
Congiusta, Dominick, V [1 ,2 ]
Smith, Brendan [1 ,2 ]
Jain, Kunj [1 ,2 ]
Shaath, M. Kareem [1 ,2 ]
Dalcortivo, Robert L. [1 ,2 ]
Ahmed, Irfan H. [1 ,2 ]
Vosbikian, Michael M. [1 ,2 ]
机构
[1] Rutgers New Jersey Med Sch, Newark, NJ USA
[2] Rutgers New Jersey Med Sch, Dept Orthopaed, Newark, NJ 07103 USA
来源
ARCHIVES OF BONE AND JOINT SURGERY-ABJS | 2023年 / 11卷 / 10期
关键词
Fracture fixation; Hip fracture; Outcomes; Systematic review; RANDOMIZED CONTROLLED-TRIAL; GAMMA-NAIL; TROCHANTERIC FRACTURES; INTRAMEDULLARY NAIL; SURGICAL-TREATMENT; LOCKING NAIL; BLOOD-LOSS; PLATE; MANAGEMENT; MORTALITY;
D O I
10.22038/ABJS.2023.64311.3088
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objectives: Intertrochanteric hip fractures are a common orthopaedic injury in the United States. Complications of surgical treatment include nonunion, lag screw cutout, implant failure, post-operative pain, risk of refracture or reoperation, and infection. The purpose of this study was to compare the rate of complications of sliding hip screw fixation (SHS) compared to cephalomedullary nailing (CMN) for the treatment of closed intertrochanteric femur fractures in adult patients.Methods: PubMed, CINAHL, and Cochrane Library databases were searched for studies comparing SHS to CMN in the treatment of closed intertrochanteric femur fractures in adults. Data were compiled to observe the rate of nonunion, cutout failure, infection, refracture, perioperative blood loss, reoperation, postoperative pain, pulmonary embolism/deep venous thrombosis (DVT), length of hospital stay, and mortality.Results: Seventeen studies were included comprising 1,500 patients treated with SHS and 1,890 patients treated with CMN. Treatment of intertrochanteric femur fractures with SHS demonstrated significantly fewer refractures and reoperations. There was no significant difference in other variables between SHS and CMN treated groups.Conclusion: This meta-analysis shows that the only notable difference in outcomes is patients treated with CMN have a higher rate of refracture and reoperation. With new advances in the development of both CMNs and SHS, further studies will be required to see if these differences persist in the coming years.Level of evidence: II
引用
收藏
页码:595 / 604
页数:10
相关论文
共 40 条
[1]   Prospective randomized controlled trial of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur [J].
Adams, CI ;
Robinson, CM ;
Court-Brown, CM ;
McQueen, MM .
JOURNAL OF ORTHOPAEDIC TRAUMA, 2001, 15 (06) :394-400
[2]  
Ahrengart L, 2002, CLIN ORTHOP RELAT R, P209
[3]   Prospective randomised controlled trial of an intramedullary nail versus a sliding hip screw for intertrochanteric fractures of the femur [J].
Aktselis, Ioannis ;
Kokoroghiannis, Constantine ;
Fragkomichalos, Evaggelos ;
Koundis, Georgios ;
Deligeorgis, Anastasios ;
Daskalakis, Emmanouil ;
Vlamis, John ;
Papaioannou, Nikolaos .
INTERNATIONAL ORTHOPAEDICS, 2014, 38 (01) :155-161
[4]   Unstable Intertrochanteric Fracture Fixation - Is Proximal Femoral Locked Compression Plate Better Than Dynamic Hip Screw [J].
Asif, Naiyer ;
Ahmad, Sohail ;
Qureshi, Owais Ahmad ;
Jilani, Latif Zafar ;
Hamesh, Tajdar ;
Jameel, Tariq .
JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2016, 10 (01) :RC9-RC13
[5]   A Comparison of the Long Gamma Nail with the Sliding Hip Screw for the Treatment of AO/OTA 31-A2 Fractures of the Proximal Part of the Femur A Prospective Randomized Trial [J].
Barton, Tristan M. ;
Gleeson, Robert ;
Topliss, Claire ;
Greenwood, Rosemary ;
Harries, William J. ;
Chesser, Timothy J. S. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2010, 92A (04) :792-798
[6]   Extramedullary Compared with Intramedullary Implants for Intertrochanteric Hip Fractures Thirty-Day Outcomes of 4432 Procedures from the ACS NSQIP Database [J].
Bohl, Daniel D. ;
Basques, Bryce A. ;
Golinvaux, Nicholas S. ;
Miller, Christopher P. ;
Baumgaertner, Michael R. ;
Grauer, Jonathan N. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2014, 96A (22) :1871-1877
[7]   Incidence and Mortality of Hip Fractures in the United States [J].
Brauer, Carmen A. ;
Coca-Perraillon, Marcelo ;
Cutler, David M. ;
Rosen, Allison B. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2009, 302 (14) :1573-1579
[8]   FIXATION OF INTERTROCHANTERIC FRACTURES OF THE FEMUR - A RANDOMIZED PROSPECTIVE COMPARISON OF THE GAMMA-NAIL AND THE DYNAMIC HIP SCREW [J].
BRIDLE, SH ;
PATEL, AD ;
BIRCHER, M ;
CALVERT, PT .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1991, 73 (02) :330-334
[9]   Preventable risk factors of mortality after hip fracture surgery: Systematic review and meta-analysis [J].
Chang, Wenli ;
Lv, Hongzhi ;
Feng, Chen ;
Yuwen, Peizhi ;
Wei, Ning ;
Chen, Wei ;
Zhang, Yingze .
INTERNATIONAL JOURNAL OF SURGERY, 2018, 52 :320-328
[10]   Cephalomedullary nail versus sliding hip screw for unstable intertrochanteric fractures in elderly patients [J].
Chua, Ivan Tjun Huat ;
Rajamoney, Ganesan Naidu ;
Kwek, Ernest Beng Kee .
JOURNAL OF ORTHOPAEDIC SURGERY, 2013, 21 (03) :308-312