Intramedullary Nail versus Dynamic Hip Screw for the Treatment of Hip Fractures: a Meta-Analysis .
Does intramedullary nail have advantages over dynamic hip screw for the treatment of AO/OTA31A1-A3? A meta-analysis.
BMC Musculoskelet Disord . 2023 Jul 18;24(1):588.Thirty randomized controlled trials with a total of 6650 patients who sustained hip fractures classified as AO/OTA31A1-A3 were included in this systematic review and meta-analysis comparing surgical fracture fixation with intramedullary nail (IMN) versus dynamic hip screw (DHS). Pooled outcomes of interest included intraoperative differences such as blood loss and screening time, postoperative differences including hospital stays, time to healing, Harris score as well as complications such as femoral neck shortening, non-union, and femoral fractures. The analysis revealed that there is a significant preference of IMN over DHS, such as lower intraoperative blood loss, lower incidence of femoral neck shortening and lower rates of non-union.
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