Unstable intertrochanteric fracture: PFN vs reverse distal femoral locking plate .
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Proximal femoral nails compared with reverse distal femoral locking plates in intertrochanteric fractures with a compromised lateral wall; a randomised controlled trial
Int Orthop. 2014 Jul;38(7):1443-940 patients with unstable intertrochanteric fractures with compromised lateral wall were randomized to determine a superior method of fixation between proximal femoral nail (PFN) and contralateral reverse distal femoral locking compression plate (reverse-DFLCP). Patients were monitored over 1 year and were evaluated based on intraoperative measures, clinical outcomes, and rate of mechanical failure. The evidence presented in this trial demonstrated that PFN resulted in a shorter duration of surgery, fluoroscopy time, and less blood loss. PFN patients also experienced significantly fewer failures, and demonstrated favorable clinical outcomes in the HHS and SF-12.
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