Intertrochanteric Fractures Clinical Trial
Official title:
The Effect of Loss of Offset After Pertrochanteric Fracture Treated With a Intramedullary Nail
The purpose of this study is determine the relationship between pain and protrusion of the implant after surgery for a intertrochanteric fracture.
Intertrochanteric fractures are common fractures in which severe complications such as
non-union, implant cut-out and postoperative wound-infections occur at very low rates with
modern surgical techniques. While severe complications are rare, the patient reported
outcome is less satisfactory with roughly half of the patients complain of thigh pain and
others failing to regain their walking ability. The current leading methods for
osteosynthesis of intertrochanteric fractures are intramedullary (IM) nails and sliding hip
screws (SHS).
Over the period 1998 to 2007 the use of IM nails for pertrochanteric fractures increased
from 5% to 20% in Sweden, at the expense of the use of SHS (5). IM nailing has also become
more common at our clinic where we since February 2008 use the 3rd generation of the Gamma
nail. In this study we investigate if the increased pain after IM nailing, reduced hip
function and life quality may correlate to the compression over the fracture and the lateral
protrusion of the intramedullary nail.
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Observational Model: Cohort, Time Perspective: Cross-Sectional
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