Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Extramedullary fixation implants for extracapsular hip fractures.

M J Parker1, H H Handoll, M A Chinoy

  • 1Orthopaedic Department, Peterborough District Hospital, Thorpe Road, Peterborough, Cambridgeshire, UK, PE3 6DA. mjparker@globalnet.co.uk

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary

Extramedullary fixation for hip fractures shows fixed nail plates have higher failure rates than the sliding hip screw (SHS). While evidence is limited, the SHS appears preferable due to lower fixation failure risks in hip fracture surgery.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Internal fixation or hemiarthroplasty for undisplaced intracapsular hip fractures: a randomized trial.

Acta orthopaedica Belgica·2025
Same author

Timing of surgery for internal fixation of intracapsular hip fractures and complications at 1 year; a 32 year clinical study of 2,366 patients at a single center.

Injury·2021
Same author

Characteristics and outcomes of hip fractures in lower limb amputees.

Injury·2020
Same author

Defining Significant Events for Neonatal and Pediatric Transport: Results of a Combined Delphi and Consensus Meeting Process.

Journal of pediatric intensive care·2019
Same author

Management and outcome of the dislocated hip hemiarthroplasty.

The bone & joint journal·2018
Same author

Sliding hip screw <i>versus</i> the Targon PFT nail for trochanteric hip fractures: a randomised trial of 400 patients.

The bone & joint journal·2017

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Trauma Care

Background:

  • Extramedullary fixation involves lateral proximal femur plating for hip fractures.
  • Surgical treatment of extracapsular hip fractures requires effective fixation devices.

Purpose of the Study:

  • To compare the efficacy of various extramedullary fixation implants for adult extracapsular hip fractures.

Main Methods:

  • Systematic review of randomized and quasi-randomized trials up to March 1998.
  • Independent quality assessment and data extraction by three reviewers.
  • Meta-analysis of outcome measures where appropriate.

Main Results:

  • Fixed nail plates showed increased fixation failure compared to the sliding hip screw (SHS).

Related Experiment Videos

  • The RAB plate demonstrated a trend towards lower fixation failure and complications versus the SHS, though not statistically significant.
  • The Medoff plate was associated with higher operative blood loss and time, but a potential benefit for unstable fractures.

    • Conclusions:

    • The sliding hip screw (SHS) is likely preferable due to a lower risk of implant breakage and fixation failure compared to fixed nail plates.
    • Insufficient evidence exists to definitively conclude the superiority of the SHS over other implants like the RAB plate, Pugh nail, or Medoff plate.
    • Further high-quality randomized trials are needed to establish definitive clinical recommendations for hip fracture fixation.