Abstract
Objectives: To evaluate the need for reoperation of geriatric intertrochanteric hip fractures treated with 10-mm cephalomedullary nails versus those treated with nails larger than 10 mm. Design: Retrospective review at a single institution. Setting: Level I trauma center. Patients/Participants: All patients age 60 and over treated with cephalomedullary fixation for an intertrochanteric femur fracture at a single institution. Intervention: Cephalomedullary fixation with variable nail diameters. Main Outcome Measurements: Reoperation rates of geriatric intertrochanteric fractures treated with a size 10-mm diameter cephalomedullary nail compared with patients treated with nails larger than 10 mm. Results: There were no significant differences in reoperation rates when the 10-mm cohort was compared with an aggregate cohort of all nails larger than 10 mm (P = 0.99). This result was true for both all-cause reoperation and noninfectious reoperation. There was no difference between cohorts in regards to age, gender, or fracture pattern. Conclusions: A 10-mm cephalomedullary nail can be used in lieu of a larger diameter fixation in patients age 60 and older with intertrochanteric femur fractures while still maintaining a comparable rate of reoperation.
Original language | English (US) |
---|---|
Pages (from-to) | 329-332 |
Number of pages | 4 |
Journal | Journal of orthopaedic trauma |
Volume | 35 |
Issue number | 6 |
DOIs | |
State | Published - Jun 1 2021 |
Keywords
- cephalomedullary nail
- femur
- fixation failure
- geriatric
- hip
- intertrochanteric fracture
- intramedullary fixation
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine