Proximal femoral nail vs. dynamic hip screw in treatment of intertrochanteric fractures: a meta-analysis.

Abstract:

BACKGROUND:The aim of this meta-analysis was to compare the outcomes of proximal femoral nail (PFN) and dynamic hip screw (DHS) in treatment of intertrochanteric fractures. MATERIAL AND METHODS:Relevant randomized or quasi-randomized controlled studies comparing the effects of PFN and DHS were searched for following the requirements of the Cochrane Library Handbook. Six eligible studies involving 669 fractures were included. Their methodological quality was assessed and data were extracted independently for meta-analysis. RESULTS:The results showed that the PFN group had significantly less operative time (WMD: -21.15, 95% CI: -34.91 - -7.39, P=0.003), intraoperative blood loss (WMD: -139.81, 95% CI: -210.39 - -69.22, P=0.0001), and length of incision (WMD: -6.97, 95% CI: -9.19 - -4.74, P<0.00001) than the DHS group. No significant differences were found between the 2 groups regarding postoperative infection rate, lag screw cut-out rate, or reoperation rate. CONCLUSIONS:The current evidence indicates that PFN may be a better choice than DHS in the treatment of intertrochanteric fractures.

journal_name

Med Sci Monit

authors

Zhang K,Zhang S,Yang J,Dong W,Wang S,Cheng Y,Al-Qwbani M,Wang Q,Yu B

doi

10.12659/MSM.890962

subject

Has Abstract

pub_date

2014-09-12 00:00:00

pages

1628-33

eissn

1234-1010

issn

1643-3750

pii

890962

journal_volume

20

pub_type

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