Sliding hip screws yield higher reoperation rate in reverse oblique trochanteric, subtrochanteric fractures

Matre K. Injury. 2013. doi:10.1016/j.injury.2012.12.010.

  • May 15, 2013

Researchers from Norway found sliding hip screws had a 6.4% reoperation rate after 12 months compared to a 3.4% reoperation rate for intramedullary nailing in patients treated for reverse oblique trochanteric or subtrochanteric fractures.

“Small differences regarding pain, satisfaction, quality of life and mobility were also in favor of [intramedullary] IM nailing,” Kjell Matre, MD, and colleagues wrote in the study abstract. “Consequently, a change in our treatment strategy for these fractures could be considered.”

Matre and colleagues collected 2,716 cases between 2005 and 2010 from the Norwegian Hip Fracture Register. In addition to the IM group having a lower reoperation rate, the group also had better VAS pain and satisfaction scores than the sliding hip screw group.

The researchers also noted no significant differences in EQ-5D index scores between the groups. The IM group had better mobility over the sliding hip screw group.

Disclosure: Matre received a grant from the regional Health Trust of Western Norway and is on the speaker’s bureau for Stryker and Smith & Nephew.

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