Phil Hyun Chung; Suk Kang; Jong Pil Kim; Young Sung Kim; Ho Min Lee; Jong Hyun Kim

doi:10.12671/jkfs.2013.26.1.44

Articles

Page Path: HOME > J Musculoskelet Trauma > Volume 26(1); 2013 > Article

Original Article
A Comparison between Compression Hip Screw and Intramedullary Nail for the Treatment of AO/OTA A2.2 Intertrochanteric Femoral Fracture: Phil Hyun Chung, M.D., Ph.D., Suk Kang, M.D., Ph.D., Jong Pil Kim, M.D., Young Sung Kim, M.D., Ho Min Lee, M.D., Jong Hyun Kim, M.D.; Journal of the Korean Fracture Society 2013;26(1):44-49.
DOI: https://doi.org/10.12671/jkfs.2013.26.1.44
Published online: January 17, 2013

Department of Orthopaedic Surgery, Dongguk University Gyeongju Hospital, Dongguk University College of Medicine, Gyeongju, Korea.

Address reprint requests to: Suk Kang, M.D., Ph.D. Department of Orthopaedic Surgery, Dongguk University Gyeongju Hospital, 87, Dongdae-ro, Gyeongju 780-350, Korea. Tel: 82-54-770-8224, Fax: 82-54-770-8378, cbg1196@hanmail.net

• Received: September 8, 2012 • Revised: October 14, 2012 • Accepted: November 24, 2012

35 Views
0 Download
1 Crossref

prev next

Full Article

Download PDF

Abstract
REFERENCES

Abstract

Purpose
To compare the result between the compression hip screw (CHS) and intramedullary (IM) nail for the treatment of AO/OTA A2.2 intertrochanteric fracture.
Materials and Methods
We retrospectively reviewed 95 cases of AO/OTA A2.2 intertrochanteric fracture, which were treated with CHS or IM nail by one surgeon from March 1994 to December 2009. One group was treated with CHS (Group I, 28 cases) and the other was treated with IM nail (Group II, 67 cases). We evaluated the mean operation time, the amount of bleeding and transfusion, hospital duration, radiological results and the clinical outcome with the mobility score of Parker and Palmer.
Results
Radiologically, the tip-apex distance, change of neck-shaft angle, and union time were not significantly different between both groups (p>0.05). Clinically, the mean operation time, the amount of bleeding and transfusion, hospital duration and the mobility score were not significantly different (p>0.05). The post-operative complications were lag screw slippage over 25 mm (1 case) and loosening of device (1 case) in group I. In group II, there were perforation of the femoral head (1 case), nail breakage (1 case) and deep infection (1 case).
Conclusion
There was no significant differences that are clinical and radiological results in the treatment of AO/OTA A2.2 intertrochanteric fracture, using CHS and IM nail.
Key words: Femur, Intertrochanteric fractures, Compression hip screw, Intramedullary nailing

REFERENCES

1. Babst R, Renner N, Biedermann M, et al. Clinical results using the trochanter stabilizing plate (TSP): the modular extension of the dynamic hip screw (DHS) for internal fixation of selected unstable intertrochanteric fractures. J Orthop Trauma, 1998;12:392-399.Article PubMed
2. Banan H, Al-Sabti A, Jimulia T, Hart AJ. The treatment of unstable, extracapsular hip fractures with the AO/ASIF proximal femoral nail (PFN)-our first 60 cases. Injury, 2002;33:401-405.Article PubMed
3. Barton TM, Gleeson R, Topliss C, Greenwood R, Harries WJ, Chesser TJ. 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 Bone Joint Surg Am, 2010;92:792-798.PubMed
4. Bridle SH, Patel AD, Bircher M, Calvert PT. Fixation of intertrochanteric fractures of the femur. A randomised prospective comparison of the gamma nail and the dynamic hip screw. J Bone Joint Surg Br, 1991;73:330-334.Article PubMed PDF
5. Butt MS, Krikler SJ, Nafie S, Ali MS. Comparison of dynamic hip screw and gamma nail: a prospective, randomized, controlled trial. Injury, 1995;26:615-618.Article PubMed
6. Chang JS, Lee SH, Jay SC, et al. Treatment of comminuted trochanteric fractures with dynamic hip screw and DHS trochanter stabilizing plate. J Korean Orthop Assoc, 1997;32:1206-1213.Article PDF
7. Chevalley F, Gamba D. Gamma nailing of pertrochanteric and subtrochanteric fractures: clinical results of a series of 63 consecutive cases. J Orthop Trauma, 1997;11:412-415.PubMed
8. Evans EM. Trochanteric fractures; a review of 110 cases treated by nail-plate fixation. J Bone Joint Surg Br, 1951;33B:192-204.PubMed
9. Fogagnolo F, Kfuri M Jr, Paccola CA. Intramedullary fixation of pertrochanteric hip fractures with the short AO-ASIF proximal femoral nail. Arch Orthop Trauma Surg, 2004;124:31-37.PubMed
10. Gotfried Y. The lateral trochanteric wall: a key element in the reconstruction of unstable pertrochanteric hip fractures. Clin Orthop Relat Res, 2004;(425):82-86.
11. Hardy DC, Descamps PY, Krallis P, et al. Use of an intramedullary hip-screw compared with a compression hipscrew with a plate for intertrochanteric femoral fractures. A prospective, randomized study of one hundred patients. J Bone Joint Surg Am, 1998;80:618-630.PubMed
12. Jensen JS, Sonne-Holm S, Tøndevold E. Unstable trochanteric fractures. A comparative analysis of four methods of internal fixation. Acta Orthop Scand, 1980;51:949-962.
13. Kim TH, Kim JO, Lee SY, Yun GU. Treatment of the unstable intertrochanteric fracture with proximal femoral nail antirotation: comparison with compression hip screw with trochanteric stabilizing plate. J Korean Fract Soc, 2010;23:353-359.
14. Koval KJ, Zuckerman JD. Hip fractures: II. Evaluation and treatment of intertrochanteric fractures. J Am Acad Orthop Surg, 1994;2:150-156.PubMed
15. Marsh JL, Slongo TF, Agel J, et al. Fracture and dislocation classification compendium-2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma, 2007;21:S1-S133.PubMed
16. Parker MJ, Handoll HH. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Cochrane Database Syst Rev, 2010;(9):CD000093. PubMed
17. Parker MJ, Palmer CR. A new mobility score for predicting mortality after hip fracture. J Bone Joint Surg Br, 1993;75:797-798.PubMed
18. Rosenblum SF, Zuckerman JD, Kummer FJ, Tam BS. A biomechanical evaluation of the gamma nail. J Bone Joint Surg Br, 1992;74:352-357.PubMed

Fig. 1

(A) A sixty seven-year-old woman sustained left hip fracture.

(B) The fracture type was AO/OTA 31-A2.2 which was confirmed by 3-dimensional computed tomography scan.

(C) The fracture was closely reduced and fixed with compression hip screw.

(D) Final follow-up radiograph shows solid union and 5 mm lag screw sliding.

Fig. 2

(A) A seventy nine-year-old man sustained left intertrochanteric femoral fracture.

(B) The fracture type was AO/OTA 31-A2.2 which was confirmed by 3-dimensional computed tomography scan.

(C) The fracture was closely reduced and fixed with intramedullary nail.

(D) Final follow-up radiographs show solid union without lag screw sliding.

Table 1

Demographic Characteristics

CHS: Compression hip screw, IM: Intramedullary. ^*By Student-t test. ^†By chi-square test.

Table 2

Radiological Results

CHS: Compression hip screw, IM: Intramedullary. ^*By Student-t test.

Table 3

Clinical Results

CHS: Compression hip screw, IM: Intramedullary. ^*By Fisher's exact test. ^†By Student-t test.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

A Comparison of Clinical Results between Compression Hip Screw and Proximal Femoral Nail as the Treatment of AO/OTA 31-A2.2 Intertrochanteric Femoral Fractures
Phil Hyun Chung, Suk Kang, Jong Pil Kim, Young Sung Kim, Ho Min Lee, In Hwa Back, Kyeong Soo Eom
Journal of the Korean Orthopaedic Association.2016; 51(6): 493. CrossRef

Cite

CITE: export Copy Download Format; Close

Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

Format:

RIS — For EndNote, ProCite, RefWorks, and most other reference management software
BibTeX — For JabRef, BibDesk, and other BibTeX-specific software

Include:

Citation for the content below
Citation and abstract for the content below

A Comparison between Compression Hip Screw and Intramedullary Nail for the Treatment of AO/OTA A2.2 Intertrochanteric Femoral Fracture

J Korean Fract Soc. 2013;26(1):44-49. Published online January 31, 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.1.44

XML Download

Figure

We recommend

Related articles

A Comparison between Compression Hip Screw and Intramedullary Nail for the Treatment of AO/OTA A2.2 Intertrochanteric Femoral Fracture

Fig. 1 (A) A sixty seven-year-old woman sustained left hip fracture. (B) The fracture type was AO/OTA 31-A2.2 which was confirmed by 3-dimensional computed tomography scan. (C) The fracture was closely reduced and fixed with compression hip screw. (D) Final follow-up radiograph shows solid union and 5 mm lag screw sliding.

Fig. 2 (A) A seventy nine-year-old man sustained left intertrochanteric femoral fracture. (B) The fracture type was AO/OTA 31-A2.2 which was confirmed by 3-dimensional computed tomography scan. (C) The fracture was closely reduced and fixed with intramedullary nail. (D) Final follow-up radiographs show solid union without lag screw sliding.

Fig. 1

Fig. 2

A Comparison between Compression Hip Screw and Intramedullary Nail for the Treatment of AO/OTA A2.2 Intertrochanteric Femoral Fracture

Table 1

Demographic Characteristics

CHS: Compression hip screw, IM: Intramedullary. ^*By Student-t test. ^†By chi-square test.

Table 2

Radiological Results

CHS: Compression hip screw, IM: Intramedullary. ^*By Student-t test.

Table 3

Clinical Results

CHS: Compression hip screw, IM: Intramedullary. ^*By Fisher's exact test. ^†By Student-t test.

Table 1 Demographic Characteristics

CHS: Compression hip screw, IM: Intramedullary. ^*By Student-t test. ^†By chi-square test.

Table 2 Radiological Results

CHS: Compression hip screw, IM: Intramedullary. ^*By Student-t test.

Table 3 Clinical Results

CHS: Compression hip screw, IM: Intramedullary. ^*By Fisher's exact test. ^†By Student-t test.