دورية أكاديمية

Radiographic Predictors of Screw Cutout for Intertrochanteric Fractures Treated With Cephalomedullary Nails.

التفاصيل البيبلوغرافية
العنوان: Radiographic Predictors of Screw Cutout for Intertrochanteric Fractures Treated With Cephalomedullary Nails.
المؤلفون: Nahm NJ; Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan., Frisch NB; DeClaire LaMacchia Orthopaedic Institute, Rochester Hills, Michigan., Ghacham W; Department of Orthopaedic Surgery, Samaritan Health Services, Corvallis, Oregon., Les CM; Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan., Guthrie ST; Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan., Charters MA; Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan.
المصدر: Journal of surgical orthopaedic advances [J Surg Orthop Adv] 2019 Summer; Vol. 28 (2), pp. 115-120.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Data Trace Pub. Co Country of Publication: United States NLM ID: 101197881 Publication Model: Print Cited Medium: Print ISSN: 1548-825X (Print) Linking ISSN: 1548825X NLM ISO Abbreviation: J Surg Orthop Adv Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Towson, MD : Data Trace Pub. Co., c2003-
مواضيع طبية MeSH: Bone Screws* , Fracture Fixation, Intramedullary*/instrumentation , Hip Fractures*/surgery, Bone Nails ; Humans ; Nails ; Radiography ; Treatment Outcome
مستخلص: The objective of this study was to determine the predictive value of tip-apex distance (TAD) and Parker's ratio for screw cutout after treatment of intertrochanteric hip fractures with a long cephalomedullary nail. A total of 97 patients with AO/OTA 31-A1-A3 intertrochanteric fractures and a minimum follow-up of 8 weeks were included. Increased Parker's ratio on the anteroposterior radiograph (OR = 1.386, p < .003) and lateral radiograph (OR = 1.138, p < .028) was significantly associated with screw cutout. In a multivariable regression analysis, only the Parker's anteroposterior ratio was significantly associated with risk of screw cutout (OR = 1.393, p = .004), but TAD (OR = 0.977, p = .764) and Parker's lateral ratio (OR 1.032, p = .710) were not independent predictors of cutout. The study concluded that Parker's anteroposterior ratio is the most helpful measurement in predicting screw cutout. (Journal of Surgical Orthopaedic Advances 28(2):115-120, 2019).
تواريخ الأحداث: Date Created: 20190815 Date Completed: 20191028 Latest Revision: 20191028
رمز التحديث: 20231215
PMID: 31411956
قاعدة البيانات: MEDLINE