Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures

ŞAHİN, Ercan; ZEHİR, Sinan; zehir, regayip

Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures

Sinan ZEHİR, (Hitit Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Çorum, Türkiye)

Ercan ŞAHİN, (Bülent Ecevit Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Zonguldak, Türkiye)

Regayip ZEHİR (Çarşamba Devlet Hastanesi, Kardiyoloji Bölümü, Samsun, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

2 1

Yıl: 2015 Cilt: 21 Sayı: 6 Sayfa Aralığı: 469 - 476 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures

Öz:

BACKGROUND: The aim of this study was toreport our experience regarding the use of three different methods for intramedullary nailing in the treatment of intertrochanteric fractures.METHODS: Patients with A2 and A3 type fractures operated on for unstable trochanteric fractures were included into this retrospective cohort study. Patients were divided into three groups based on the technique used; Talon distal fix nail/lag screw (n=78; mean age, 78.5±6.6), PFNA nail (n=96; mean age, 77.2±6.8) or InterTan nails (n=102; mean age, 76.8±6.7). Harris hip scores were recorded at the last outpatient visit and survival information was obtained by phone interview and civil registry database.RESULTS: Baseline characteristics were similar among groups. Operation time, fluoroscopy time and blood loss were significantly higher in InterTan group. Screw cut-out occurred in eight patients in PFNA group. In-hospital mortality occurred in nine (3.2%) patients. Length of hospital stay and postoperative tip-apex distance was not different among groups. At follow-up, healing time and Harris hip scores were also similar among groups. One-year survival rate was 83.1±4.5% in Talon distal fix nail/lag screw, 84.0±3.8% in PFNA group and 84.4±3.7% in InterTan group (p=0.33).CONCLUSION: New Talon distal fix nail/lag screw was associated with lower cut-out rates than PFNA and shorter operative times than InterTan. Further study is warranted to clearly establish the potential advantages of Talon distal fix over any other technique described herein

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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İnstabil trokanterik kırık tedavisinde kullanılan üç farklı
intramedüller çivinin klinik sonuçlarının karşılaştırılması
Dr. Sinan Zehir,1 Dr. Ercan Şahin,2 Dr. Regayip Zehir3
Hitit Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Çorum
Bülent Ecevit Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Zonguldak
Çarşamba Devlet Hastanesi, Kardiyoloji Kliniği, Samsun
AMAÇ: İntertrokanterik kırıkların tedavisinde kullanılan üç farklı intramedüller çivileme yöntemiyle ilişkili sonuçların değerlendirilmesi amaçlandı.
GEREÇ VE YÖNTEM: Bu geriye dönük kohort calismasina A2 ve A3 tip stabil olmayan trokanterik kırık nedeniyle opere edilen hastalar dahil edildi.
Kullanılan tekniğe göre hastalar üç gruba ayrıldı: Talon distal sabit çivi/lag screw (n=78, ortalama yaş: 78.5±6.6), PFNA çivi (n=96, ortalama yaş:
2±6.8) ve İnterTan çivisi (n=102, ortalama yas: 76.8±6.7). Son kontrolde Harris kalça skoru kaydedildi, sağkalım telefon görüşmesi ve vatandaş
lık bilgi bankası kayıtlarından elde edildi.
BULGULAR: Grupların temel özellikleri benzerdi. İnterTan grubunda ameliyat süresi, floroskopi zamanı ve kan kaybı anlamlı olarak fazlaydı. PFNA
grubunda sekiz hastada cut-out oluştu. Hastane içi mortalite %3.2 idi (dokuz hasta). Hastanede yatış süresi ve ameliyat sonrası tip-apex mesafesi
gruplar arasında farklı değildi. İyileşme süresi ve Harris kalça skoru gruplar arasında benzerdi. Bir yıllık sağ kalım Talon distal sabit çivi/lag screw
grubunda %83.1±4.5, PFNA grubunda %84.0±3.8 ve İnterTan grubunda 84.4±3.7 bulundu (p=0.33).
TARTIŞMA: Talon distal sabit çivi/lag screw yöntemi daha az cut-out oranıyla PFNA tekniğinden ve daha kısa ameliyat süresiyle InterTan yöntemin
den daha iyi olarak bulunmuştur.
Anahtar sözcükler: İntramedüller çivi; komplikasyon; sağkalım; trokanterik kırık.
Ulus Travma Acil Cerrahi Derg 2015;21(6):469-476 doi: 10.5505/tjtes.2015.28227

APA	ZEHİR S, ŞAHİN E, zehir r (2015). Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. , 469 - 476.
Chicago	ZEHİR Sinan,ŞAHİN Ercan,zehir regayip Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. (2015): 469 - 476.
MLA	ZEHİR Sinan,ŞAHİN Ercan,zehir regayip Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. , 2015, ss.469 - 476.
AMA	ZEHİR S,ŞAHİN E,zehir r Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. . 2015; 469 - 476.
Vancouver	ZEHİR S,ŞAHİN E,zehir r Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. . 2015; 469 - 476.
IEEE	ZEHİR S,ŞAHİN E,zehir r "Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures." , ss.469 - 476, 2015.
ISNAD	ZEHİR, Sinan vd. "Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures". (2015), 469-476.

APA	ZEHİR S, ŞAHİN E, zehir r (2015). Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. Ulusal Travma ve Acil Cerrahi Dergisi, 21(6), 469 - 476.
Chicago	ZEHİR Sinan,ŞAHİN Ercan,zehir regayip Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. Ulusal Travma ve Acil Cerrahi Dergisi 21, no.6 (2015): 469 - 476.
MLA	ZEHİR Sinan,ŞAHİN Ercan,zehir regayip Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. Ulusal Travma ve Acil Cerrahi Dergisi, vol.21, no.6, 2015, ss.469 - 476.
AMA	ZEHİR S,ŞAHİN E,zehir r Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. Ulusal Travma ve Acil Cerrahi Dergisi. 2015; 21(6): 469 - 476.
Vancouver	ZEHİR S,ŞAHİN E,zehir r Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures. Ulusal Travma ve Acil Cerrahi Dergisi. 2015; 21(6): 469 - 476.
IEEE	ZEHİR S,ŞAHİN E,zehir r "Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures." Ulusal Travma ve Acil Cerrahi Dergisi, 21, ss.469 - 476, 2015.
ISNAD	ZEHİR, Sinan vd. "Comparison of clinical outcomes with three different intramedullary nailing devices in the treatment of unstable trochanteric fractures". Ulusal Travma ve Acil Cerrahi Dergisi 21/6 (2015), 469-476.