AAOS2017: Unlocked femoral nails safe and effective in stable intertrochanteric fractures .
Unlocked versus Dynamic and Static Distal Locked Femoral Nails in Stable Intertrochanteric Femoral Fractures: A Prospective Randomized Multicentric Study
240 patients undergoing intramedullary nail fixation of stable intertrochanteric femoral fractures were randomized to three groups; static locking, dynamic locking, or no locking. Patients were assessed for intraoperative outcomes, and clinical outcome measure over 12-month follow-up. Patients in the unlocked groups had significantly decreased operative time, blood loss, total fluoroscopy time, and incision length compared to the other two groups. Additionally, patients in the unlocked group had a significantly shorter time to union compared to the other two groups. There were no significant differences in SF-12, Barthel Index scores, or complications between the three groups.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics