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 journalArticlepeer-review

5 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 languageEnglish
Pages (from-to)103-109
Number of pages7
JournalJournal of Orthopaedics
Volume11
Issue number2
DOIs
StatePublished - 1 Jan 2014
Externally publishedYes

Keywords

  • Dynamic hip screw
  • Expandable
  • Hip fracture
  • Offset
  • Proximal femoral nail

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