Standard vs. Long Cephalomedullary Nails for Unstable Extracapsular Proximal Femoral Fractures .
Complications of standard versus long cephalomedullary nails in the treatment of unstable extracapsular proximal femoral fractures: A randomized controlled trial.
Injury. 2023 Feb;54(2): 661-668.One hundred and eighty-two patients with unstable extracapsular proximal femoral fractures were randomized to receive a standard size cephalomedullary nail (n=93, 3 did not receive) or a long nail (n=89, 22 did not receive). The outcomes of interest included mechanical complications, the incidence of mortality, operative time, medical complications, and length of stay. Outcomes were assessed up to 12 months post-operation. Long nails were associated with a significantly higher incidence of mortality at 1 and 3 months and a longer operative time. Mortality in the first month was independently linked to surgical time, which was significantly longer in patients who died.
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