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 |
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Pages (from-to) | 103-109 |
Number of pages | 7 |
Journal | Journal of Orthopaedics |
Volume | 11 |
Issue number | 2 |
DOIs | |
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