Favorable radiographic outcomes using the expandable proximal femoral nail in the treatment of hip fractures - A randomized controlled trial

Ofir Chechik; Eyal Amar; Morsi Khashan; Tamir Pritsch; Michael Drexler; Yariv Goldstein; Ely L. Steinberg

doi:10.1016/j.jor.2014.04.004

Favorable radiographic outcomes using the expandable proximal femoral nail in the treatment of hip fractures - A randomized controlled trial

Ofir Chechik, Eyal Amar, Morsi Khashan, Tamir Pritsch, Michael Drexler, Yariv Goldstein, Ely L. Steinberg

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Aim: To compare the functional and radiographic results of dynamic hip screw (DHS) and expandable proximal femoral nail (EPFN) in the treatment of extracapsular hip fractures. Methods: A randomized controlled trial of sixty hip fracture patients. Outcomes included mortality, residency, independence, mobility, function and radiographic results at a minimum of 1 year. Results: Twenty-nine EPFN patients demonstrated fewer cases of shaft medialization or femoral offset shortening compared to the 31 DHS patients. Mortality, complications and functional outcomes were similar. Conclusion: EPFN provides stable fixation of pertrochanteric hip fractures and prevents neck shortening that is commonly observed after DHS fixation.

Original language	English
Pages (from-to)	103-109
Number of pages	7
Journal	Journal of Orthopaedics
Volume	11
Issue number	2
DOIs	https://doi.org/10.1016/j.jor.2014.04.004
State	Published - 1 Jan 2014
Externally published	Yes

Keywords

Dynamic hip screw
Expandable
Hip fracture
Offset
Proximal femoral nail

ASJC Scopus subject areas

Orthopedics and Sports Medicine

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10.1016/j.jor.2014.04.004

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title = "Favorable radiographic outcomes using the expandable proximal femoral nail in the treatment of hip fractures - A randomized controlled trial",

abstract = "Aim: To compare the functional and radiographic results of dynamic hip screw (DHS) and expandable proximal femoral nail (EPFN) in the treatment of extracapsular hip fractures. Methods: A randomized controlled trial of sixty hip fracture patients. Outcomes included mortality, residency, independence, mobility, function and radiographic results at a minimum of 1 year. Results: Twenty-nine EPFN patients demonstrated fewer cases of shaft medialization or femoral offset shortening compared to the 31 DHS patients. Mortality, complications and functional outcomes were similar. Conclusion: EPFN provides stable fixation of pertrochanteric hip fractures and prevents neck shortening that is commonly observed after DHS fixation.",

keywords = "Dynamic hip screw, Expandable, Hip fracture, Offset, Proximal femoral nail",

author = "Ofir Chechik and Eyal Amar and Morsi Khashan and Tamir Pritsch and Michael Drexler and Yariv Goldstein and Steinberg, {Ely L.}",

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T1 - Favorable radiographic outcomes using the expandable proximal femoral nail in the treatment of hip fractures - A randomized controlled trial

AU - Chechik, Ofir

AU - Amar, Eyal

AU - Khashan, Morsi

AU - Pritsch, Tamir

AU - Drexler, Michael

AU - Goldstein, Yariv

AU - Steinberg, Ely L.

PY - 2014/1/1

Y1 - 2014/1/1

N2 - Aim: To compare the functional and radiographic results of dynamic hip screw (DHS) and expandable proximal femoral nail (EPFN) in the treatment of extracapsular hip fractures. Methods: A randomized controlled trial of sixty hip fracture patients. Outcomes included mortality, residency, independence, mobility, function and radiographic results at a minimum of 1 year. Results: Twenty-nine EPFN patients demonstrated fewer cases of shaft medialization or femoral offset shortening compared to the 31 DHS patients. Mortality, complications and functional outcomes were similar. Conclusion: EPFN provides stable fixation of pertrochanteric hip fractures and prevents neck shortening that is commonly observed after DHS fixation.

AB - Aim: To compare the functional and radiographic results of dynamic hip screw (DHS) and expandable proximal femoral nail (EPFN) in the treatment of extracapsular hip fractures. Methods: A randomized controlled trial of sixty hip fracture patients. Outcomes included mortality, residency, independence, mobility, function and radiographic results at a minimum of 1 year. Results: Twenty-nine EPFN patients demonstrated fewer cases of shaft medialization or femoral offset shortening compared to the 31 DHS patients. Mortality, complications and functional outcomes were similar. Conclusion: EPFN provides stable fixation of pertrochanteric hip fractures and prevents neck shortening that is commonly observed after DHS fixation.

KW - Dynamic hip screw

KW - Expandable

KW - Hip fracture

KW - Offset

KW - Proximal femoral nail

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DO - 10.1016/j.jor.2014.04.004

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Favorable radiographic outcomes using the expandable proximal femoral nail in the treatment of hip fractures - A randomized controlled trial

Abstract

Keywords

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