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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@doctors.org.uk

The Cochrane Database of Systematic Reviews
|June 19, 2001
PubMed
Summary

The sliding hip screw (SHS) is preferable for treating extracapsular hip fractures due to lower risks of implant breakage and fixation failure compared to fixed nail plates. More research is needed to compare SHS with other implants like the RAB plate, Pugh nail, and Medoff plate.

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Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Extramedullary fixation involves applying plates and screws to the proximal femur for hip fracture treatment.
  • Extracapsular hip fractures are common injuries requiring surgical intervention.

Purpose of the Study:

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

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials identified through the Cochrane Musculoskeletal Injuries Group register.
  • Data extraction and quality assessment by two independent reviewers, with data pooling where appropriate.
  • Search conducted up to January 2001.

Main Results:

  • Fixed nail plates showed a higher risk of fixation failure compared to the sliding hip screw (SHS).

Related Experiment Videos

  • The RAB plate demonstrated contrasting results against the SHS regarding complications and fixation.
  • The Medoff plate was associated with increased operative blood loss and time, but a potential for lower fixation failure in unstable fractures.

    • Conclusions:

    • The SHS is recommended over fixed nail plates due to a lower incidence of fixation failure.
    • Insufficient evidence exists to definitively conclude the clinical significance of differences between SHS and other implants like RAB, Pugh, or Medoff plates.