Letter to the Editor: Intramedullary Nails Result in More Reoperations Than Sliding Hip Screws in Two-part Intertrochanteric Fractures
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
To the Editor:
We are interested in the article, “Intramedullary Nails Result in More Reoperations Than Sliding Hip Screws in Two-part Intertrochanteric Fractures” by Matre et al. . The authors concluded that sliding hip screws likely are the preferred implant for simple two-part intertrochanteric fractures. The conclusion is useful to our clinical work. The Norwegian Hip Fracture Register (NHFR) is an outstanding management system for analysis and statistics involving hip fracture studies. Valuable information can be obtained from intertrochanteric fractures through this rich database. Based on large numbers of surgical procedures, the conclusions should be reliable and valuable. We benefitted from previous articles related to the NHFR [1, 4, 5] and we thank the study authors for their work.
Currently, there is no consensus regarding the best implant for different intertrochanteric fractures. However, there is a trend toward more intramedullary nailing in intertrochanteric fractures.
- Gjertsen JE, Vinje T, Engesaeter LB, Lie SA, Havelin LI, Furnes O, Fevang JM. Internal screw fixation compared with bipolar hemiarthroplasty for treatment of displaced femoral neck fractures in elderly patients. J Bone Joint Surg Am. 2010;92:619–628. CrossRef
- Haidukewych GJ. Intertrochanteric fractures: ten tips to improve results. J Bone Joint Surg Am. 2009;91:712–719.
- Macheras GA, Koutsostathis SD, Galanakos S, Kateros K, Papadakis SA. Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures? Clin Orthop Relat Res. 2012;470:3067–3076. CrossRef
- Matre K, Havelin LI, Gjertsen JE, Espehaug B, Fevang JM. Intramedullary nails result in more reoperations than sliding hip screws in two-part intertrochanteric fractures. Clin Orthop Relat Res. 2013;471:1379–1386. CrossRef
- Matre K, Havelin LI, Gjertsen JE, Vinje T, Espehaug B, Fevang JM. Sliding hip screw versus IM nail in reverse oblique trochanteric and subtrochanteric fractures. A study of 2716 patients in the Norwegian Hip Fracture Register. [published online ahead of print January 7, 2013]. Injury. doi:10.1016/j.injury.2012.12.010.
- Tao YL, Ma Z, Chang SM. Letter to the Editor: Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures? Clin Orthop Relat Res. 2013;471:1393–1394. CrossRef
- Letter to the Editor: Intramedullary Nails Result in More Reoperations Than Sliding Hip Screws in Two-part Intertrochanteric Fractures
Clinical Orthopaedics and Related Research®
Volume 471, Issue 7 , pp 2408-2410
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Industry Sectors