Second Look—Clinical News and Views


Hip fracture repair—Findings from a study conducted in Canada  and published in the Dec. 2 issue of The Journal of Bone & Joint Surgery suggest that use of an intramedullary device (IM) for the management of intertrochanteric fracture may be associated  with improved radiographic outcomes, but not improved functional outcomes. The  prospective, randomized, multicenter study involved 167 patients aged 55 years  or older who sustained an isolated AO/OTA Type-A2 intertrochanteric fracture  and who were treated with either an IM device (n = 87) or a traditional  extramedullary hip screw (n = 80). At 12-month follow-up, no significant  differences between cohorts were found in either primary or secondary clinical  outcomes. However, radiographic parameters favored the IM cohort, which  displayed less femoral neck shortening.

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