The effect of implant choice on varus angulation and clinical results in the management of subtrochanteric fractures.
retrospective_cohort · Level III
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- Record sourced from PubMed, PMID 32042228.
- Also identified by DOI 10.1016/j.jor.2020.01.017 and PMC identifier 7000555.
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Abstract
The aim of this study was to evaluate the effects of implant choice on varus angulation in the management of subtrochanteric fractures. Between 2011 and 2016, 58 patients were included in the study and femur locking plate (PF-LCP; Group 1 = 27) and proximal femoral nails (PFN; Group 2 = 31) were compared retrospectively. In group 1, femoral NSA was measured 131,37 ± 1,95 and last follow-up angle was 127,33 ± 2,40. (p = 0,025). The mean Harris hip score was 67.59 ± 17.74 and 63.29 ± 13.83 in Group 1 and Group 2, respectively (p = 0.406). Plate fixation is not as successful as proximal nails at preventing varus angulation.