دورية أكاديمية
Treatment of Intertrochanteric Femur Fractures with Long versus Short Cephalomedullary Nails.
| العنوان: | Treatment of Intertrochanteric Femur Fractures with Long versus Short Cephalomedullary Nails. |
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| المؤلفون: | Sadeghi C; Department of Orthopaedic Surgery, Southern California Permanente Medical Group, San Diego, CA, USA., Prentice HA; Surgical Outcomes and Analysis, Kaiser Permanente, San Diego, California, USA., Okike KM; Department of Orthopaedic Surgery, Kaiser Moanalua Medical Center, Honolulu, HI, USA., Paxton EW; Surgical Outcomes and Analysis, Kaiser Permanente, San Diego, California, USA. |
| المصدر: | The Permanente journal [Perm J] 2020; Vol. 24. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Permanente Press Country of Publication: United States NLM ID: 9800474 Publication Model: Print Cited Medium: Internet ISSN: 1552-5775 (Electronic) Linking ISSN: 15525767 NLM ISO Abbreviation: Perm J Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Fall 2010- : Portland, OR : Permanente Press Original Publication: Portland, Or. : Kaiser Permanente, |
| مواضيع طبية MeSH: | Bone Nails* , Surgical Procedures, Operative*, Hip Fractures/*surgery, Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Patient Safety ; Proportional Hazards Models ; Reoperation ; Retrospective Studies ; Treatment Outcome |
| مستخلص: | Context: Prior studies regarding indications for long vs short cephalomedullary nails in the treatment of intertrochanteric fractures had limited sample sizes and follow-up, suggesting a need for further investigation. Objective: To evaluate the association between cephalomedullary nail length and outcomes for the treatment of intertrochanteric femur fractures. Design: Cohort study using Kaiser Permanente's Hip Fracture Registry. A total of 5526 patients who underwent surgical treatment with cephalomedullary nails for an intertrochanteric femur fracture (2009-2014) were identified: 3108 (56.2%) with long nails and 2418 (43.8%) with short nails. Cox proportional hazards model regression was used to evaluate risks of all-cause revision and revision for periprosthetic fracture. Linear regression was used to evaluate operative time, estimated blood loss, and length of stay. Propensity score weights were used in all models to balance nail groups on patient and device characteristics. Main Outcome Measures: All-cause revision surgery. Results: No association was found in risk of all-cause revision (hazard ratio = 0.75, 95% confidence interval [CI] = 0.48-1.15) or revision for periprosthetic fracture (hazard ratio = 0.59, 95% CI = 0.23-1.48) for long nails compared with short nails. Use of longer nails resulted in 18.80 more minutes of operative time (95% CI = 17.33-20.27 minutes), 41.10 mL more of estimated blood loss (95% CI = 31.71-50.48 mL), and a longer hospitalization (8.4 hours; β = 0.35, 95% CI = 0.12-0.58 hours). Conclusion: These findings suggest that routine use of short cephalomedullary nails is safe and effective in the treatment of intertrochanteric fractures. |
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| تواريخ الأحداث: | Date Created: 20200715 Date Completed: 20210622 Latest Revision: 20220111 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC7357999 |
| DOI: | 10.7812/TPP/19.229 |
| PMID: | 32663128 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1552-5775 |
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| DOI: | 10.7812/TPP/19.229 |