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Trauma

Intertrochanteric fractures: Similar rate of reoperation using fixed or sliding side plate

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Intertrochanteric fractures: Similar rate of reoperation using fixed or sliding side plate .

This report has been verified by one or more authors of the original publication.

A multicentre, prospective, randomised comparison of the sliding hip screw with the Medoff sliding screw and side plate for unstable intertrochanteric hip fractures

Injury. 2013 Dec;44(12):1904-9. doi: 10.1016/j.injury.2013.06.017. Epub 2013 Jul 20

Contributing Authors

R McCormack K Panagiotopolous R Buckley M Penner B Perey G Pate T Goetz M Piper

163 patients with unstable intertrochanteric fractures were randomized to receive surgical treatment using either (1) a sliding hip screw and fixed side plate or (2) a sliding hip screw and a Medoff sliding side plate. The purpose of this study was to compare rates of re-operation and hip function scores following treatment with these two types of hardware. Results after 6 months indicated that the use of a sliding hip screw with a Medoff sliding side plate resulted in a similar re-operation rate, hip function recovery scores, length of hospital stay, haemoglobin drop, number of transfusions, transfusion units, leg-length discrepancy, loss in range of motion, and the incidence of complications. Surgical time was significantly greater in the Medoff sliding side plate group.

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