Intertrochanteric fracture: Cephalomedullary nail is no different from sliding hip screw .
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Dual lag screw cephalomedullary nail versus the classic sliding hip screw for the stabilization of intertrochanteric fractures. A prospective randomized study
Strategies Trauma Limb Reconstr. 2012 Nov;7(3):155-62. doi: 10.1007/s11751-012-0146-3. Epub 2012 Oct 20165 patients with low-energy intertrochanteric fractures were randomized to receive treatment using the extramedullary sliding hip screw or the dual lag screw cephalomedullary nail. Over a mean follow up of 36 months, there were no differences between the two groups for functional recovery, intra-operative outcomes, length of hospital stay, delay to surgery, re-operation rate, mortality, complication rate, and implant positioning. The cephalomedullary nail group had a significantly shorter mean operation time, but a longer fluoroscopy time than the sliding hip screw group. In three cases in the cephalomedullary nail group the proximal screws displaced (Z effect).
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