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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
|July 25, 2000
PubMed
Summary

The sliding hip screw (SHS) shows a lower risk of fixation failure compared to fixed nail plates for hip fractures. More research is needed to compare SHS with other implants like the RAB plate.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Trauma Care

Background:

  • Extramedullary fixation involves applying plates and screws to the proximal femur for hip fracture treatment.
  • This method is commonly used for extracapsular hip fractures in adults.

Purpose of the Study:

  • To compare the effectiveness of various extramedullary fixation implants in treating adult extracapsular hip fractures.

Main Methods:

  • Systematic review of randomized or quasi-randomized controlled trials.
  • Searched Cochrane Musculoskeletal Injuries Group trials register and relevant article references (search up to October 1999).
  • Independent quality assessment and data extraction by three reviewers.

Main Results:

Related Experiment Videos

  • Fixed nail plates demonstrated a higher risk of fixation failure compared to the sliding hip screw (SHS).
  • The RAB plate showed a trend towards lower fixation failure and complications than SHS, but results were not statistically significant.
  • Limited data suggests the Medoff plate may have a lower fixation failure rate for unstable fractures but longer operative times.

    • Conclusions:

    • The SHS is preferable due to a lower risk of implant breakage and fixation failure compared to fixed nail plates.
    • Insufficient evidence exists to definitively conclude the clinical significance of differences between SHS and other implants (RAB, Pugh, Medoff).