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Published in: European Journal of Orthopaedic Surgery & Traumatology 4/2016

01-05-2016 | Expert's Opinion • HIP - FRACTURES

Intertrochanteric fractures: a review of fixation methods

Authors: Senthil Nathan Sambandam, Jayadev Chandrasekharan, Varatharaj Mounasamy, Cyril Mauffrey

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2016

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Excerpt

Intertrochanteric fractures are common, and data show that nearly half of the fractures around the hip are intertrochanteric. Intramedullary nail with a cephalomedullary screw or sliding hip screw–plate construct is the standard surgical treatment options chosen by most surgeons, and wide variability on fixation methods and outcomes has been observed. Fracture pattern, bone quality, fixation techniques and few other factors are important to achieve ideal results. In this article, we review various fixation methods in detail. …
Literature
1.
go back to reference Kosygan KP, Mohan R, Newman RJ (2002) The Gotfried percutaneous compression plate compared with the conventional classic hip screw for the fixation of intertrochanteric fractures of the hip. J Bone Joint Surg Br 84:1922CrossRef Kosygan KP, Mohan R, Newman RJ (2002) The Gotfried percutaneous compression plate compared with the conventional classic hip screw for the fixation of intertrochanteric fractures of the hip. J Bone Joint Surg Br 84:1922CrossRef
2.
go back to reference Garg B, Marimuthu K, Kumar V, Malhotra R, Kotwal PP (2011) Outcome of short proximal femoral nail antirotation and dynamic hip screw for fixation of unstable trochanteric fractures. A randomised prospective comparative trial. Hip Int 21:531–536PubMedCrossRef Garg B, Marimuthu K, Kumar V, Malhotra R, Kotwal PP (2011) Outcome of short proximal femoral nail antirotation and dynamic hip screw for fixation of unstable trochanteric fractures. A randomised prospective comparative trial. Hip Int 21:531–536PubMedCrossRef
3.
go back to reference Yang E, Qureshi S, Trokhan S, Joseph D (2011) Gotfried percutaneous compression plating compared with sliding hip screw fixation of intertrochanteric hip fractures: a prospective randomized study. J Bone Joint Surg Am 93:942–947PubMedCrossRef Yang E, Qureshi S, Trokhan S, Joseph D (2011) Gotfried percutaneous compression plating compared with sliding hip screw fixation of intertrochanteric hip fractures: a prospective randomized study. J Bone Joint Surg Am 93:942–947PubMedCrossRef
4.
go back to reference Baumgaertner MR, Curtin SL, Lindskog DM (1998) Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures. Clin Orthop Relat Res 348:87–94PubMed Baumgaertner MR, Curtin SL, Lindskog DM (1998) Intramedullary versus extramedullary fixation for the treatment of intertrochanteric hip fractures. Clin Orthop Relat Res 348:87–94PubMed
5.
go back to reference McCormack R, Panagiotopolous K, Buckley R, Penner M, Perey B, Pate G, Goetz T, Piper M (2013) A multicentre, prospective, randomised comparison of the sliding hip screw with the Medoff sliding screw and side plate for unstable intertrochanteric hip fractures. Injury 44:1904–1909PubMedCrossRef McCormack R, Panagiotopolous K, Buckley R, Penner M, Perey B, Pate G, Goetz T, Piper M (2013) A multicentre, prospective, randomised comparison of the sliding hip screw with the Medoff sliding screw and side plate for unstable intertrochanteric hip fractures. Injury 44:1904–1909PubMedCrossRef
6.
go back to reference Lunsjo K, Ceder L, Thorngren KG, Skytting B, Tidermark J, Berntson PO, Allvin I, Norberg S, Hjalmars K, Larsson S, Knebel R, Hauggaard A, Stigsson L (2001) extramedullary fixation of 569 unstable intertrochanteric fractures: a randomized multicenter trial of the Medoff sliding plate versus three other screw-plate systems. Acta Orthop Scand 72:133–140PubMedCrossRef Lunsjo K, Ceder L, Thorngren KG, Skytting B, Tidermark J, Berntson PO, Allvin I, Norberg S, Hjalmars K, Larsson S, Knebel R, Hauggaard A, Stigsson L (2001) extramedullary fixation of 569 unstable intertrochanteric fractures: a randomized multicenter trial of the Medoff sliding plate versus three other screw-plate systems. Acta Orthop Scand 72:133–140PubMedCrossRef
7.
go back to reference Saudan M, Lubbeke A, Sadowski C, Riand N, Stern R, Hoffmeyer P (2002) Pertrochanteric fractures: is there an advantage to an intramedullary nail?: a randomized, prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail. J Orthop Trauma 16:386393 Saudan M, Lubbeke A, Sadowski C, Riand N, Stern R, Hoffmeyer P (2002) Pertrochanteric fractures: is there an advantage to an intramedullary nail?: a randomized, prospective study of 206 patients comparing the dynamic hip screw and proximal femoral nail. J Orthop Trauma 16:386393
8.
go back to reference Parker MJ, Bowers TR, Pryor GA (2012) Sliding hip screw versus the Targon PF nail in the treatment of trochanteric fractures of the hip: a randomised trial of 600 fractures. J Bone Joint Surg Br 94:391–397PubMedCrossRef Parker MJ, Bowers TR, Pryor GA (2012) Sliding hip screw versus the Targon PF nail in the treatment of trochanteric fractures of the hip: a randomised trial of 600 fractures. J Bone Joint Surg Br 94:391–397PubMedCrossRef
9.
go back to reference Parker MJ, Handoll HH (2010) Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extra capsular hip fractures in adults. Cochrane Database Sits Rev CD000093 Parker MJ, Handoll HH (2010) Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extra capsular hip fractures in adults. Cochrane Database Sits Rev CD000093
10.
go back to reference Little NJ, Verma V, Fernando C, Elliott DS, Khaleel A (2008) A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip. J Bone Joint Surg Br 90:1073–1078PubMedCrossRef Little NJ, Verma V, Fernando C, Elliott DS, Khaleel A (2008) A prospective trial comparing the Holland nail with the dynamic hip screw in the treatment of intertrochanteric fractures of the hip. J Bone Joint Surg Br 90:1073–1078PubMedCrossRef
11.
go back to reference Hardy DCR, Descamps P-Y, Krallis P, Fabeck L, Smets P, Bertens CL, Delince PE (1998) Use of an intramedullary hip-screw compared with a compression hip-screw with a plate for intertrochanteric femoral fractures. A prospective, randomized study of one hundred patients. J Bone Joint Surg Am 80(5):618–630PubMed Hardy DCR, Descamps P-Y, Krallis P, Fabeck L, Smets P, Bertens CL, Delince PE (1998) Use of an intramedullary hip-screw compared with a compression hip-screw with a plate for intertrochanteric femoral fractures. A prospective, randomized study of one hundred patients. J Bone Joint Surg Am 80(5):618–630PubMed
12.
go back to reference Peyser A, Weil YA, Brocke L, Sela Y, Mosheiff R, Mattan Y, Manor O, Liebergall M (2007) A prospective, randomised study comparing the percutaneous compression plate and the compression hip screw for the treatment of intertrochanteric fractures of the hip. J Bone Joint Surg Br 89:1210–1217PubMedCrossRef Peyser A, Weil YA, Brocke L, Sela Y, Mosheiff R, Mattan Y, Manor O, Liebergall M (2007) A prospective, randomised study comparing the percutaneous compression plate and the compression hip screw for the treatment of intertrochanteric fractures of the hip. J Bone Joint Surg Br 89:1210–1217PubMedCrossRef
13.
go back to reference Zou J, Xu Y, Yang H (2009) A comparison of proximal femoral nail antirotation and dynamic hip screw devices in trochanteric fractures. J Int Med Res 37:1057–1064PubMedCrossRef Zou J, Xu Y, Yang H (2009) A comparison of proximal femoral nail antirotation and dynamic hip screw devices in trochanteric fractures. J Int Med Res 37:1057–1064PubMedCrossRef
14.
go back to reference Adams CI, Robinson CM, Court-Brown CM, McQueen MM (2001) Prospective randomized controlled trial of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur. J Orthop Trauma 15:394–400PubMedCrossRef Adams CI, Robinson CM, Court-Brown CM, McQueen MM (2001) Prospective randomized controlled trial of an intramedullary nail versus dynamic screw and plate for intertrochanteric fractures of the femur. J Orthop Trauma 15:394–400PubMedCrossRef
15.
go back to reference Barton TM, Gleeson R, Topliss C, Greenwood R, Harries WJ, Chesser TJ (2010) a comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective randomized trial. J Bone Joint Surg Am 92:792–798PubMedCrossRef Barton TM, Gleeson R, Topliss C, Greenwood R, Harries WJ, Chesser TJ (2010) a comparison of the long gamma nail with the sliding hip screw for the treatment of AO/OTA 31-A2 fractures of the proximal part of the femur: a prospective randomized trial. J Bone Joint Surg Am 92:792–798PubMedCrossRef
16.
go back to reference Bridle SH, Patel AD, Bircher M, Calvert PT (1991) Fixation of intertrochanteric fractures of the femur. A randomised prospective comparison of the gamma nail and the dynamic hip screw. J Bone Joint Surg Br 73:330–334PubMed Bridle SH, Patel AD, Bircher M, Calvert PT (1991) Fixation of intertrochanteric fractures of the femur. A randomised prospective comparison of the gamma nail and the dynamic hip screw. J Bone Joint Surg Br 73:330–334PubMed
17.
go back to reference Ahrengart L, Tornkvist H, Fornander P, Thorngren KG, Pasanen L, Wahlstrom P, Honkonen S, Lindgren U (2002) a randomized study of the compression hip screw and Gamma nail in 426 fractures. Clin Orthop Relat Res 401:209–222PubMedCrossRef Ahrengart L, Tornkvist H, Fornander P, Thorngren KG, Pasanen L, Wahlstrom P, Honkonen S, Lindgren U (2002) a randomized study of the compression hip screw and Gamma nail in 426 fractures. Clin Orthop Relat Res 401:209–222PubMedCrossRef
18.
go back to reference Matre K, Havelin LI, Gjertsen JE, Vinje T, Espehaug B, Fevang JM (2013) Sliding hip screw versus IM nail in reverse oblique trochanteric and subtrochanteric fractures. A study of 2716 patients in the Norwegian Hip Fracture Register. Injury 44:735–742PubMedCrossRef Matre K, Havelin LI, Gjertsen JE, Vinje T, Espehaug B, Fevang JM (2013) Sliding hip screw versus IM nail in reverse oblique trochanteric and subtrochanteric fractures. A study of 2716 patients in the Norwegian Hip Fracture Register. Injury 44:735–742PubMedCrossRef
19.
go back to reference Fang C, Lau TW, Wong TM, Lee HL, Leung F (2015) Sliding hip screw versus sliding helical blade for intertrochanteric fractures: a propensity score-matched case control study. Bone Joint J 97B:398–404CrossRef Fang C, Lau TW, Wong TM, Lee HL, Leung F (2015) Sliding hip screw versus sliding helical blade for intertrochanteric fractures: a propensity score-matched case control study. Bone Joint J 97B:398–404CrossRef
20.
go back to reference Macheras G, Galanakos S, Koutsostathis S, Kateros K, Karras A, Papadakis S (2013) Unstable pertrochanteric fractures. A comparison of preliminary results using three different methods of fixation, Acta Orthopaedica et Traumatologica Hellenica 64 Macheras G, Galanakos S, Koutsostathis S, Kateros K, Karras A, Papadakis S (2013) Unstable pertrochanteric fractures. A comparison of preliminary results using three different methods of fixation, Acta Orthopaedica et Traumatologica Hellenica 64
21.
go back to reference Lenich A, Bachmeier S, Prantl L, Nerlich M, Hammer J, Mayr E, AlMunajjed AA, Fuchtmeier B (2011) Is the rotation of the femoral head a potential initiation for cutting out? A theoretical and experimental approach. BMC Musculoskeletal Disord 12:79CrossRef Lenich A, Bachmeier S, Prantl L, Nerlich M, Hammer J, Mayr E, AlMunajjed AA, Fuchtmeier B (2011) Is the rotation of the femoral head a potential initiation for cutting out? A theoretical and experimental approach. BMC Musculoskeletal Disord 12:79CrossRef
22.
go back to reference Weiser L, Ruppel AA, Nuchtern JV, Sellenschloh K, Zeichen J, Puschel K, Morlock MM, Lehmann W (2015) Extra- versus intramedullary treatment of pertrochanteric fractures: a biomechanical in vitro study comparing dynamic hip screw and intramedullary nail. Arch Orthop Trauma Surg 135:1101–1106PubMedCrossRef Weiser L, Ruppel AA, Nuchtern JV, Sellenschloh K, Zeichen J, Puschel K, Morlock MM, Lehmann W (2015) Extra- versus intramedullary treatment of pertrochanteric fractures: a biomechanical in vitro study comparing dynamic hip screw and intramedullary nail. Arch Orthop Trauma Surg 135:1101–1106PubMedCrossRef
23.
go back to reference O’Neill F, Condon F, McGloughlin T, Lenehan B, Coffey JC, Walsh M (2011) Dynamic hip screw versus DHS blade: a biomechanical comparison of the fixation achieved by each implant in bone. J Bone Joint Surg Br 93:616–621PubMedCrossRef O’Neill F, Condon F, McGloughlin T, Lenehan B, Coffey JC, Walsh M (2011) Dynamic hip screw versus DHS blade: a biomechanical comparison of the fixation achieved by each implant in bone. J Bone Joint Surg Br 93:616–621PubMedCrossRef
24.
go back to reference Sommers MB, Roth C, Hall H, Kam BC, Ehmke LW, Krieg JC, Madey SM, Bottlang M (2004) A laboratory model to evaluate cutout resistance of implants for pertrochanteric fracture fixation. J Orthop Trauma 18(361):368 Sommers MB, Roth C, Hall H, Kam BC, Ehmke LW, Krieg JC, Madey SM, Bottlang M (2004) A laboratory model to evaluate cutout resistance of implants for pertrochanteric fracture fixation. J Orthop Trauma 18(361):368
25.
go back to reference Luo Q, Yuen G, Lau TW, Yeung K, Leung F (2013) A biomechanical study comparing helical blade with screw design for sliding hip fixations of unstable intertrochanteric fractures. ScientificWorldJournal 2013:1–6 Luo Q, Yuen G, Lau TW, Yeung K, Leung F (2013) A biomechanical study comparing helical blade with screw design for sliding hip fixations of unstable intertrochanteric fractures. ScientificWorldJournal 2013:1–6
26.
go back to reference Kouvidis GK, Sommers MB, Giannoudis PV, Katonis PG, Bottlang M (2009) Comparison of migration behavior between single and dual lag screw implants for intertrochanteric fracture fixation. J Orthop Surg Res 4:16PubMedPubMedCentralCrossRef Kouvidis GK, Sommers MB, Giannoudis PV, Katonis PG, Bottlang M (2009) Comparison of migration behavior between single and dual lag screw implants for intertrochanteric fracture fixation. J Orthop Surg Res 4:16PubMedPubMedCentralCrossRef
27.
go back to reference Goffin JM, Pankaj P, Simpson AH (2013) The importance of lag screw position for the stabilization of trochanteric fractures with a sliding hip screw: a subject-specific finite element study. J Orthop Res 31(596–600):28 Goffin JM, Pankaj P, Simpson AH (2013) The importance of lag screw position for the stabilization of trochanteric fractures with a sliding hip screw: a subject-specific finite element study. J Orthop Res 31(596–600):28
28.
go back to reference Curtis MJ, Jinnah RH, Wilson V, Cunningham BW (1994) Proximal femoral fractures: a biomechanical study to compare intramedullary and extramedullary fixation. Injury 25:99–104PubMedCrossRef Curtis MJ, Jinnah RH, Wilson V, Cunningham BW (1994) Proximal femoral fractures: a biomechanical study to compare intramedullary and extramedullary fixation. Injury 25:99–104PubMedCrossRef
29.
go back to reference Al-Munajjed AA, Hammer J, Mayr E, Nerlich M, Lenich A (2008) Biomechanical characterisation of osteosyntheses for proximal femur fractures: helical blade versus screw. Stud Health Technol Inform 133:110 Al-Munajjed AA, Hammer J, Mayr E, Nerlich M, Lenich A (2008) Biomechanical characterisation of osteosyntheses for proximal femur fractures: helical blade versus screw. Stud Health Technol Inform 133:110
30.
go back to reference Yu J, Zhang C, Li L, Kwong JS, Xue L, Zeng X, Tang L, Li Y, Sun X (2015) Internal fixation treatments for intertrochanteric fracture: a systematic review and meta-analysis of randomized evidence. Sci Rep 5:18195PubMedPubMedCentralCrossRef Yu J, Zhang C, Li L, Kwong JS, Xue L, Zeng X, Tang L, Li Y, Sun X (2015) Internal fixation treatments for intertrochanteric fracture: a systematic review and meta-analysis of randomized evidence. Sci Rep 5:18195PubMedPubMedCentralCrossRef
31.
go back to reference Ma KL, Wang X, Luan FJ, Xu HT, Fang Y, Min J, Luan HX, Yang F, Zheng H, He SJ (2014) Proximal femoral nails antirotation, Gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur: a meta-analysis. Orthop Traumatol Surg Res 100:859–866PubMedCrossRef Ma KL, Wang X, Luan FJ, Xu HT, Fang Y, Min J, Luan HX, Yang F, Zheng H, He SJ (2014) Proximal femoral nails antirotation, Gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur: a meta-analysis. Orthop Traumatol Surg Res 100:859–866PubMedCrossRef
32.
go back to reference Shen L, Zhang Y, Shen Y, Cui Z (2013) Antirotation proximal femoral nail versus dynamic hip screw for intertrochanteric fractures: a metaanalysis of randomized controlled studies. Orthop Traumatol Surg Res 99:377–383PubMedCrossRef Shen L, Zhang Y, Shen Y, Cui Z (2013) Antirotation proximal femoral nail versus dynamic hip screw for intertrochanteric fractures: a metaanalysis of randomized controlled studies. Orthop Traumatol Surg Res 99:377–383PubMedCrossRef
33.
go back to reference Bhandari M, Schemitsch E, Jonsson A, Zlowodzki M, Haidukewych GJ (2009) Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a metaanalysis. J Orthop Trauma 23:460–464PubMedCrossRef Bhandari M, Schemitsch E, Jonsson A, Zlowodzki M, Haidukewych GJ (2009) Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a metaanalysis. J Orthop Trauma 23:460–464PubMedCrossRef
34.
go back to reference Windolf M, Braunstein V, Dutoit C, Schwieger K (2009) Is a helical shaped implant a superior alternative to the Dynamic Hip Screw for unstable femoral neck fractures? A biomechanical investigation. Clin Biomech 24:59–64CrossRef Windolf M, Braunstein V, Dutoit C, Schwieger K (2009) Is a helical shaped implant a superior alternative to the Dynamic Hip Screw for unstable femoral neck fractures? A biomechanical investigation. Clin Biomech 24:59–64CrossRef
35.
go back to reference Haidukewych GJ, Israel TA, Berry DJ (2001) Reverse obliquity fractures of the intertrochanteric region of the femur. J Bone Joint Surg Am 83A:643–650 Haidukewych GJ, Israel TA, Berry DJ (2001) Reverse obliquity fractures of the intertrochanteric region of the femur. J Bone Joint Surg Am 83A:643–650
36.
go back to reference Kregor PJ, Obremskey WT, Kreder HJ, Swiontkowski MF (2014) Unstable pertrochanteric femoral fractures. J Orthop Trauma 28(Suppl 8):S25–S28PubMedCrossRef Kregor PJ, Obremskey WT, Kreder HJ, Swiontkowski MF (2014) Unstable pertrochanteric femoral fractures. J Orthop Trauma 28(Suppl 8):S25–S28PubMedCrossRef
37.
go back to reference Kregor PJ, Obremskey WT, Kreder HJ, Swiontkowski MF, Evidence based orthopaedic trauma working Group (2005) Unstable pertrochanteric femoral fractures. J Orthop Trauma 19:63–66PubMedCrossRef Kregor PJ, Obremskey WT, Kreder HJ, Swiontkowski MF, Evidence based orthopaedic trauma working Group (2005) Unstable pertrochanteric femoral fractures. J Orthop Trauma 19:63–66PubMedCrossRef
38.
go back to reference Haidukewych GJ (2009) Intertrochanteric fractures: ten tips to improve results. J Bone Joint Surg Am 91:712–719PubMed Haidukewych GJ (2009) Intertrochanteric fractures: ten tips to improve results. J Bone Joint Surg Am 91:712–719PubMed
39.
go back to reference Pervez H, Parker MJ, Vowler S (2004) Prediction of fixation failure after sliding hip screw fixation. Injury 35:994–998PubMedCrossRef Pervez H, Parker MJ, Vowler S (2004) Prediction of fixation failure after sliding hip screw fixation. Injury 35:994–998PubMedCrossRef
40.
go back to reference De Bruijn K, den Hartog D, Tuinebreijer W, Roukema G (2012) Reliability of predictors for screw cutout in intertrochanteric hip fractures. J Bone Joint Surg Am 94:1266–1272PubMedCrossRef De Bruijn K, den Hartog D, Tuinebreijer W, Roukema G (2012) Reliability of predictors for screw cutout in intertrochanteric hip fractures. J Bone Joint Surg Am 94:1266–1272PubMedCrossRef
41.
go back to reference Baumgaertner MR, Curtin SL, Lindskog DM, Keggi JM (1995) The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am 77:1058–1064PubMed Baumgaertner MR, Curtin SL, Lindskog DM, Keggi JM (1995) The value of the tip-apex distance in predicting failure of fixation of peritrochanteric fractures of the hip. J Bone Joint Surg Am 77:1058–1064PubMed
42.
go back to reference Baumgaertner MR, Solberg BD (1997) Awareness of tip-apex distance reduces failure of fixation of trochanteric fractures of the hip. J Bone Joint Surg Br 79:969–971PubMedCrossRef Baumgaertner MR, Solberg BD (1997) Awareness of tip-apex distance reduces failure of fixation of trochanteric fractures of the hip. J Bone Joint Surg Br 79:969–971PubMedCrossRef
43.
go back to reference Andruszkow H, Frink M, Fromke C, Matityahu A, Zeckey C, Mommsen P, Suntardjo S, Krettek C, Hildebrand F (2012) Tip apex distance, hip screw placement, and neck shaft angle as potential risk factors for cut-out failure of hip screws after surgical treatment of intertrochanteric fractures. Int Orthop 36:2347–2354PubMedPubMedCentralCrossRef Andruszkow H, Frink M, Fromke C, Matityahu A, Zeckey C, Mommsen P, Suntardjo S, Krettek C, Hildebrand F (2012) Tip apex distance, hip screw placement, and neck shaft angle as potential risk factors for cut-out failure of hip screws after surgical treatment of intertrochanteric fractures. Int Orthop 36:2347–2354PubMedPubMedCentralCrossRef
44.
go back to reference Hsueh KK, Fang CK, Chen CM, Su YP, Wu HF, Chiu FY (2010) Risk factors in cutout of sliding hip screw in intertrochanteric fractures: an evaluation of 937 patients. Int Orthop 34:1273–1276PubMedPubMedCentralCrossRef Hsueh KK, Fang CK, Chen CM, Su YP, Wu HF, Chiu FY (2010) Risk factors in cutout of sliding hip screw in intertrochanteric fractures: an evaluation of 937 patients. Int Orthop 34:1273–1276PubMedPubMedCentralCrossRef
45.
go back to reference Fitzpatrick DC, Sheerin DV, Wolf BR, Wuest TK (2011) A randomized, prospective study comparing intertrochanteric hip fracture fixation with the dynamic hip screw and the dynamic helical hip system in a community practice. Iowa Orthop J 31:166–172PubMedPubMedCentral Fitzpatrick DC, Sheerin DV, Wolf BR, Wuest TK (2011) A randomized, prospective study comparing intertrochanteric hip fracture fixation with the dynamic hip screw and the dynamic helical hip system in a community practice. Iowa Orthop J 31:166–172PubMedPubMedCentral
46.
go back to reference Huang X, Leung F, Liu M, Chen L, Xu Z, Xiang Z (2014) Is helical blade superior to screw design in terms of cut-out rate for elderly trochanteric fractures? A meta-analysis of randomized controlled trials. Eur J Orthop Surg Traumatol 24:1461–1468PubMedCrossRef Huang X, Leung F, Liu M, Chen L, Xu Z, Xiang Z (2014) Is helical blade superior to screw design in terms of cut-out rate for elderly trochanteric fractures? A meta-analysis of randomized controlled trials. Eur J Orthop Surg Traumatol 24:1461–1468PubMedCrossRef
47.
go back to reference Hwang JH, Garg AK, Oh JK, Oh CW, Lee SJ, Myung-Rae C, Kim MK, Kim H (2012) A biomechanical evaluation of proximal femoral nail antirotation with respect to helical blade position in femoral head: a cadaveric study. Indian J Orthop 46:627–632PubMedPubMedCentralCrossRef Hwang JH, Garg AK, Oh JK, Oh CW, Lee SJ, Myung-Rae C, Kim MK, Kim H (2012) A biomechanical evaluation of proximal femoral nail antirotation with respect to helical blade position in femoral head: a cadaveric study. Indian J Orthop 46:627–632PubMedPubMedCentralCrossRef
48.
go back to reference Lenich A, Fierlbeck J, Al-Munajjed A, Dendorfer S, Mai R, Fuchtmeier B, Mayr E, Hammer J (2006) First clinical and biomechanical results of the Trochanteric Fixation Nail (TFN). Technol Health Care 14:403–409PubMed Lenich A, Fierlbeck J, Al-Munajjed A, Dendorfer S, Mai R, Fuchtmeier B, Mayr E, Hammer J (2006) First clinical and biomechanical results of the Trochanteric Fixation Nail (TFN). Technol Health Care 14:403–409PubMed
49.
go back to reference Simmermacher RK, Ljungqvist J, Bail H, Hockertz T, Vochteloo AJ, Ochs U, Werken C, Studygroup AP (2008) The new proximal femoral nail antirotation (PFNA) in daily practice: results of a multicentre clinical study. Injury 39:932–939PubMedCrossRef Simmermacher RK, Ljungqvist J, Bail H, Hockertz T, Vochteloo AJ, Ochs U, Werken C, Studygroup AP (2008) The new proximal femoral nail antirotation (PFNA) in daily practice: results of a multicentre clinical study. Injury 39:932–939PubMedCrossRef
50.
go back to reference O’Malley NT, Deeb AP, Bingham KW, Kates SL (2012) Outcome of the dynamic helical hip screw system for intertrochanteric hip fractures in the elderly patients. Geriatr Orthop Surg Rehabil 3:68–73PubMedPubMedCentralCrossRef O’Malley NT, Deeb AP, Bingham KW, Kates SL (2012) Outcome of the dynamic helical hip screw system for intertrochanteric hip fractures in the elderly patients. Geriatr Orthop Surg Rehabil 3:68–73PubMedPubMedCentralCrossRef
51.
go back to reference Swart E, Makhni EC, Macaulay W, Rosenwasser MP, Bozic KJ (2014) Cost-effectiveness analysis of fixation options for intertrochanteric hip fractures. J Bone Joint Surg Am 96:1612–1620PubMedCrossRef Swart E, Makhni EC, Macaulay W, Rosenwasser MP, Bozic KJ (2014) Cost-effectiveness analysis of fixation options for intertrochanteric hip fractures. J Bone Joint Surg Am 96:1612–1620PubMedCrossRef
52.
go back to reference Anglen JO, Weinstein JN (2008) Nail or plate fixation of intertrochanteric hip fractures: changing pattern of practice. A review of the American board of orthopaedic surgery database. J Bone Joint Surg Am 90:700–707PubMedCrossRef Anglen JO, Weinstein JN (2008) Nail or plate fixation of intertrochanteric hip fractures: changing pattern of practice. A review of the American board of orthopaedic surgery database. J Bone Joint Surg Am 90:700–707PubMedCrossRef
53.
go back to reference O’Brien PJ, Meek RN, Blachut PA, Broekhuyse HM, Sabharwal S (1995) Fixation of intertrochanteric hip fractures: gamma nail versus dynamic hip screw. A randomized, prospective study. Can J Surg 38:516520 O’Brien PJ, Meek RN, Blachut PA, Broekhuyse HM, Sabharwal S (1995) Fixation of intertrochanteric hip fractures: gamma nail versus dynamic hip screw. A randomized, prospective study. Can J Surg 38:516520
54.
go back to reference Winnock de Grave P, Tampere T, Byn P, Van Overschelde J, Pattyn C, Verdonk R (2012) Intramedullary fixation of intertrochanteric hip fractures: a comparison of two implant designs. A prospective randomised clinical trial. Acta Orthop Belg 78:192–198PubMed Winnock de Grave P, Tampere T, Byn P, Van Overschelde J, Pattyn C, Verdonk R (2012) Intramedullary fixation of intertrochanteric hip fractures: a comparison of two implant designs. A prospective randomised clinical trial. Acta Orthop Belg 78:192–198PubMed
55.
go back to reference Herrera A, Domingo LJ, Calvo A, Martinez A, Cuenca J (2002) A comparative study of trochanteric fractures treated with the Gamma nail or the proximal femoral nail. Int Orthop 26:365–369PubMedPubMedCentralCrossRef Herrera A, Domingo LJ, Calvo A, Martinez A, Cuenca J (2002) A comparative study of trochanteric fractures treated with the Gamma nail or the proximal femoral nail. Int Orthop 26:365–369PubMedPubMedCentralCrossRef
56.
go back to reference Utrilla AL, Reig JS, Munoz FM, Tufanisco CB (2005) Trochanteric gamma nail and compression hip screw for trochanteric fractures: a randomized, prospective, comparative study in 210 elderly patients with a new design of the gamma nail. J Orthop Trauma 19:229–233PubMedCrossRef Utrilla AL, Reig JS, Munoz FM, Tufanisco CB (2005) Trochanteric gamma nail and compression hip screw for trochanteric fractures: a randomized, prospective, comparative study in 210 elderly patients with a new design of the gamma nail. J Orthop Trauma 19:229–233PubMedCrossRef
57.
go back to reference Vaquero J, Munoz J, Prat S, Ramirez C, Aguado HJ, Moreno E, Perez MD (2012) Proximal Femoral Nail Antirotation versus Gamma3 nail for intramedullary nailing of unstable trochanteric fractures. A randomised comparative study. Injury 43(Suppl 2):S47–S54PubMed Vaquero J, Munoz J, Prat S, Ramirez C, Aguado HJ, Moreno E, Perez MD (2012) Proximal Femoral Nail Antirotation versus Gamma3 nail for intramedullary nailing of unstable trochanteric fractures. A randomised comparative study. Injury 43(Suppl 2):S47–S54PubMed
58.
go back to reference Schipper IB, Steyerberg EW, Castelein RM, van der Heijden FH, den Hoed PT, Kerver AJ, van Vugt AB (2004) Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. J Bone Joint Surg Br 86:86–94PubMed Schipper IB, Steyerberg EW, Castelein RM, van der Heijden FH, den Hoed PT, Kerver AJ, van Vugt AB (2004) Treatment of unstable trochanteric fractures. Randomised comparison of the gamma nail and the proximal femoral nail. J Bone Joint Surg Br 86:86–94PubMed
59.
go back to reference Kukla C, Heinz T, Gaebler C, Heinze G, Vecsei V (2001) The standard Gamma nail: a critical analysis of 1000 cases. J Trauma 51:77–83PubMedCrossRef Kukla C, Heinz T, Gaebler C, Heinze G, Vecsei V (2001) The standard Gamma nail: a critical analysis of 1000 cases. J Trauma 51:77–83PubMedCrossRef
60.
go back to reference Saarenpaa I, Heikkinen T, Ristiniemi J, Hyvonen P, Leppilahti J, Jalovaara P (2009) Functional comparison of the dynamic hip screw and the Gamma locking nail in trochanteric hip fractures: a matched-pair study of 268 patients. Int Orthop 33:255–260PubMedPubMedCentralCrossRef Saarenpaa I, Heikkinen T, Ristiniemi J, Hyvonen P, Leppilahti J, Jalovaara P (2009) Functional comparison of the dynamic hip screw and the Gamma locking nail in trochanteric hip fractures: a matched-pair study of 268 patients. Int Orthop 33:255–260PubMedPubMedCentralCrossRef
61.
go back to reference Bjorgul K, Reikeras O (2007) Outcome after treatment of complications of Gamma nailing: a prospective study of 554 trochanteric fractures. Acta Orthop 78:231–235PubMedCrossRef Bjorgul K, Reikeras O (2007) Outcome after treatment of complications of Gamma nailing: a prospective study of 554 trochanteric fractures. Acta Orthop 78:231–235PubMedCrossRef
62.
go back to reference Abram SG, Pollard TC, Andrade AJ (2013) Inadequate ‘three-point’ proximal fixation predicts failure of the Gamma nail. Bone Joint J 95B:825–830CrossRef Abram SG, Pollard TC, Andrade AJ (2013) Inadequate ‘three-point’ proximal fixation predicts failure of the Gamma nail. Bone Joint J 95B:825–830CrossRef
63.
go back to reference von Ruden C, Hungerer S, Augat P, Trapp O, Buhren V, Hierholzer C (2015) Breakage of cephalomedullary nailing in operative treatment of trochanteric and subtrochanteric femoral fractures. Arch Orthop Trauma Surg 135:179–185CrossRef von Ruden C, Hungerer S, Augat P, Trapp O, Buhren V, Hierholzer C (2015) Breakage of cephalomedullary nailing in operative treatment of trochanteric and subtrochanteric femoral fractures. Arch Orthop Trauma Surg 135:179–185CrossRef
64.
go back to reference Bojan AJ, Beimel C, Speitling A, Taglang G, Ekholm C, Jonsson A (2010) 3066 consecutive Gamma Nails. 12 years experience at a single centre. BMC Musculoskelet Disord 11:133PubMedPubMedCentralCrossRef Bojan AJ, Beimel C, Speitling A, Taglang G, Ekholm C, Jonsson A (2010) 3066 consecutive Gamma Nails. 12 years experience at a single centre. BMC Musculoskelet Disord 11:133PubMedPubMedCentralCrossRef
65.
go back to reference Rosenblum SF, Zuckerman JD, Kummer FJ, Tam BS (1992) A biomechanical evaluation of the Gamma nail. J Bone Joint Surg Br 74:352357 Rosenblum SF, Zuckerman JD, Kummer FJ, Tam BS (1992) A biomechanical evaluation of the Gamma nail. J Bone Joint Surg Br 74:352357
66.
go back to reference Butt MS, Krikler SJ, Nafie S, Ali MS (1995) Comparison of dynamic hip screw and gamma nail: a prospective, randomized, controlled trial. Injury 26:615–618PubMedCrossRef Butt MS, Krikler SJ, Nafie S, Ali MS (1995) Comparison of dynamic hip screw and gamma nail: a prospective, randomized, controlled trial. Injury 26:615–618PubMedCrossRef
67.
go back to reference Iwakura T, Niikura T, Lee SY, Sakai Y, Nishida K, Kuroda R, Kurosaka M (2013) Breakage of a third generation gamma nail: a case report and review of the literature. Case Rep Orthop 2013:172352PubMedPubMedCentral Iwakura T, Niikura T, Lee SY, Sakai Y, Nishida K, Kuroda R, Kurosaka M (2013) Breakage of a third generation gamma nail: a case report and review of the literature. Case Rep Orthop 2013:172352PubMedPubMedCentral
68.
go back to reference Rerri BE, Ayorinde RO, Opadele T, Onayemi B (2011) Short gamma nail fixation for intertrochanteric fractures in the elderly. Eur J Orthop Surg Traumatol 21:275–279CrossRef Rerri BE, Ayorinde RO, Opadele T, Onayemi B (2011) Short gamma nail fixation for intertrochanteric fractures in the elderly. Eur J Orthop Surg Traumatol 21:275–279CrossRef
69.
go back to reference Efstathopoulos NE, Nikolaou VS, Lazarettos JT (2007) Intramedullary fixation of intertrochanteric hip fractures: a comparison of two implant designs. Int Orthop 31:71–76PubMedPubMedCentralCrossRef Efstathopoulos NE, Nikolaou VS, Lazarettos JT (2007) Intramedullary fixation of intertrochanteric hip fractures: a comparison of two implant designs. Int Orthop 31:71–76PubMedPubMedCentralCrossRef
70.
go back to reference Buecking B, Bliemel C, Struewer J, Eschbach D, Ruchholtz S, Muller T (2012) Use of the Gamma3 nail in a teaching hospital for trochanteric fractures: mechanical complications, functional outcomes, and quality of life. BMC Res Notes 5:651PubMedPubMedCentralCrossRef Buecking B, Bliemel C, Struewer J, Eschbach D, Ruchholtz S, Muller T (2012) Use of the Gamma3 nail in a teaching hospital for trochanteric fractures: mechanical complications, functional outcomes, and quality of life. BMC Res Notes 5:651PubMedPubMedCentralCrossRef
71.
go back to reference Wu D, Ren G, Peng C, Zheng X, Mao F, Zhang Y (2014) InterTan nail versus Gamma3 nail for intramedullary nailing of unstable trochanteric fractures. Diagn Pathol 9:191PubMedPubMedCentralCrossRef Wu D, Ren G, Peng C, Zheng X, Mao F, Zhang Y (2014) InterTan nail versus Gamma3 nail for intramedullary nailing of unstable trochanteric fractures. Diagn Pathol 9:191PubMedPubMedCentralCrossRef
72.
go back to reference D’Arrigo C, Carcangiu A, Perugia D, Scapellato S, Alonzo R, Frontini S, Ferretti A (2012) Intertrochanteric fractures: comparison between two different locking nails. Int Orthop 36:2545–2551PubMedPubMedCentralCrossRef D’Arrigo C, Carcangiu A, Perugia D, Scapellato S, Alonzo R, Frontini S, Ferretti A (2012) Intertrochanteric fractures: comparison between two different locking nails. Int Orthop 36:2545–2551PubMedPubMedCentralCrossRef
73.
go back to reference Karn NK, Jain A, Nepal P, Singh MP, Das N (2011) A prospective randomized control trial comparing proximal femoral nail and sliding hip screw in the management of trochanteric fracture of the femur. Health Renaissance 9:7–11 Karn NK, Jain A, Nepal P, Singh MP, Das N (2011) A prospective randomized control trial comparing proximal femoral nail and sliding hip screw in the management of trochanteric fracture of the femur. Health Renaissance 9:7–11
74.
go back to reference Kumar V, Singh A, Bharti A, Dalmia D, Ali S (2014) A comparison of intramedullary and extramedullary fixation devices in unstable trochanteric fractures. Int J Biomed Adv Res 05:335–339CrossRef Kumar V, Singh A, Bharti A, Dalmia D, Ali S (2014) A comparison of intramedullary and extramedullary fixation devices in unstable trochanteric fractures. Int J Biomed Adv Res 05:335–339CrossRef
75.
go back to reference Ozkan K, Cift H, Akan K, Sahin A, Eceviz E, Ugutmen E (2010) Proximal femoral nailing without a fracture table. Eur J Orthop Surg Traumatol 20:229–231CrossRef Ozkan K, Cift H, Akan K, Sahin A, Eceviz E, Ugutmen E (2010) Proximal femoral nailing without a fracture table. Eur J Orthop Surg Traumatol 20:229–231CrossRef
76.
go back to reference Ozkan K, Turkmen I, Sahin A, Yildiz Y, Erturk S, Soylemez MS (2015) A biomechanical comparison of proximal femoral nails and locking proximal anatomic femoral plates in femoral fracture fixation: a study on synthetic bones. Indian J Orthop 49:347–351PubMedPubMedCentralCrossRef Ozkan K, Turkmen I, Sahin A, Yildiz Y, Erturk S, Soylemez MS (2015) A biomechanical comparison of proximal femoral nails and locking proximal anatomic femoral plates in femoral fracture fixation: a study on synthetic bones. Indian J Orthop 49:347–351PubMedPubMedCentralCrossRef
77.
go back to reference Korkmaz MF, Erdem MN, Disli Z, Selcuk EB, Karakaplan M, Gogus A (2014) Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases. Clin Interv Aging 9:569–574PubMedPubMedCentralCrossRef Korkmaz MF, Erdem MN, Disli Z, Selcuk EB, Karakaplan M, Gogus A (2014) Outcomes of trochanteric femoral fractures treated with proximal femoral nail: an analysis of 100 consecutive cases. Clin Interv Aging 9:569–574PubMedPubMedCentralCrossRef
78.
go back to reference Koyuncu S, Altay T, Kayali C, Ozan F, Yamak K (2015) Mechanical failures after fixation with proximal femoral nail and risk factors. Clin Interv Aging 10:1959–1965PubMedPubMedCentralCrossRef Koyuncu S, Altay T, Kayali C, Ozan F, Yamak K (2015) Mechanical failures after fixation with proximal femoral nail and risk factors. Clin Interv Aging 10:1959–1965PubMedPubMedCentralCrossRef
79.
go back to reference Morihara T, Arai Y, Tokugawa S, Fujita S, Chatani K, Kubo T (2007) Proximal femoral nail for treatment of trochanteric femoral fractures. J Orthop Surg (Hong Kong) 15:273–277 Morihara T, Arai Y, Tokugawa S, Fujita S, Chatani K, Kubo T (2007) Proximal femoral nail for treatment of trochanteric femoral fractures. J Orthop Surg (Hong Kong) 15:273–277
80.
go back to reference Cheema GS, Rastogi A, Singh V, Goel SC, Mishra D, Arora S (2012) Comparison of cutout resistance of dynamic condylar screw and proximal femoral nail in reverse oblique trochanteric fractures: a biomechanical study. Indian J Orthop 46:259–265PubMedPubMedCentralCrossRef Cheema GS, Rastogi A, Singh V, Goel SC, Mishra D, Arora S (2012) Comparison of cutout resistance of dynamic condylar screw and proximal femoral nail in reverse oblique trochanteric fractures: a biomechanical study. Indian J Orthop 46:259–265PubMedPubMedCentralCrossRef
81.
go back to reference Schipper IB, Bresina S, Wahl D, Linke B, Van Vugt AB, Schneider E (2002) Biomechanical evaluation of the proximal femoral nail. Clin Orthop Relat Res 405:277–286PubMedCrossRef Schipper IB, Bresina S, Wahl D, Linke B, Van Vugt AB, Schneider E (2002) Biomechanical evaluation of the proximal femoral nail. Clin Orthop Relat Res 405:277–286PubMedCrossRef
82.
go back to reference Ozkan K, Eceviz E, Unay K, Tasyikan L, Akman B, Eren A (2011) Treatment of reverse oblique trochanteric femoral fractures with proximal femoral nail. Int Orthop 35:595–598PubMedPubMedCentralCrossRef Ozkan K, Eceviz E, Unay K, Tasyikan L, Akman B, Eren A (2011) Treatment of reverse oblique trochanteric femoral fractures with proximal femoral nail. Int Orthop 35:595–598PubMedPubMedCentralCrossRef
83.
go back to reference Norris R, Bhattacharjee D, Parker MJ (2012) Occurrence of secondary fracture around intramedullary nails used for trochanteric hip fractures: a systematic review of 13,568 patients. Injury 43:706–711PubMedCrossRef Norris R, Bhattacharjee D, Parker MJ (2012) Occurrence of secondary fracture around intramedullary nails used for trochanteric hip fractures: a systematic review of 13,568 patients. Injury 43:706–711PubMedCrossRef
84.
go back to reference Papasimos S, Koutsojannis CM, Panagopoulos A, Megas P, Lambiris E (2005) A randomised comparison of AMBI, TGN and PFN for treatment of unstable trochanteric fractures. Arch Orthop Trauma Surg 125:462–468PubMedCrossRef Papasimos S, Koutsojannis CM, Panagopoulos A, Megas P, Lambiris E (2005) A randomised comparison of AMBI, TGN and PFN for treatment of unstable trochanteric fractures. Arch Orthop Trauma Surg 125:462–468PubMedCrossRef
85.
go back to reference Pires RE, Santana EO Jr, Santos LE, Giordano V, Balbachevsky D, Dos Reis FB (2011) Failure of fixation of trochanteric femur fractures: clinical recommendations for avoiding Z-effect and reverse Z-effect type complications. Patient Saf Surg 5:17PubMedPubMedCentralCrossRef Pires RE, Santana EO Jr, Santos LE, Giordano V, Balbachevsky D, Dos Reis FB (2011) Failure of fixation of trochanteric femur fractures: clinical recommendations for avoiding Z-effect and reverse Z-effect type complications. Patient Saf Surg 5:17PubMedPubMedCentralCrossRef
86.
go back to reference Konstantinidis L, Papaioannou C, Blanke P, Hirschmuller A, Sudkamp NP, Helwig P (2013) Failure after osteosynthesis of trochanteric fractures. Where is the limit of osteoporosis? Osteoporos Int 24:2701–2706PubMedCrossRef Konstantinidis L, Papaioannou C, Blanke P, Hirschmuller A, Sudkamp NP, Helwig P (2013) Failure after osteosynthesis of trochanteric fractures. Where is the limit of osteoporosis? Osteoporos Int 24:2701–2706PubMedCrossRef
87.
go back to reference Raviraj A, Anand A, Chakravarthy M, Pai S (2012) Proximal femoral nail antirotation (PFNA) for treatment of osteoporotic proximal femoral fractures. Eur J Orthop Surg Traumatol 22:301–305CrossRef Raviraj A, Anand A, Chakravarthy M, Pai S (2012) Proximal femoral nail antirotation (PFNA) for treatment of osteoporotic proximal femoral fractures. Eur J Orthop Surg Traumatol 22:301–305CrossRef
88.
go back to reference Erhart S, Schmoelz W, Blauth M, Lenich A (2011) Biomechanical effect of bone cement augmentation on rotational stability and pull-out strength of the Proximal Femur Nail Antirotation. Injury 42:1322–1327PubMedCrossRef Erhart S, Schmoelz W, Blauth M, Lenich A (2011) Biomechanical effect of bone cement augmentation on rotational stability and pull-out strength of the Proximal Femur Nail Antirotation. Injury 42:1322–1327PubMedCrossRef
89.
go back to reference Guo Q, Shen Y, Zong Z, Zhao Y, Liu H, Hua X, Chen H (2013) Percutaneous compression plate versus proximal femoral nail anti-rotation in treating elderly patients with intertrochanteric fractures: a prospective randomized study. J Orthop Sci 18:977–986PubMedPubMedCentralCrossRef Guo Q, Shen Y, Zong Z, Zhao Y, Liu H, Hua X, Chen H (2013) Percutaneous compression plate versus proximal femoral nail anti-rotation in treating elderly patients with intertrochanteric fractures: a prospective randomized study. J Orthop Sci 18:977–986PubMedPubMedCentralCrossRef
90.
go back to reference Huang Y, Zhang C, Luo Y (2013) A comparative biomechanical study of proximal femoral nail (InterTAN) and proximal femoral nail antirotation for intertrochanteric fractures. Int Orthop 37:2465–2473PubMedPubMedCentralCrossRef Huang Y, Zhang C, Luo Y (2013) A comparative biomechanical study of proximal femoral nail (InterTAN) and proximal femoral nail antirotation for intertrochanteric fractures. Int Orthop 37:2465–2473PubMedPubMedCentralCrossRef
91.
go back to reference Knobe M, Nagel P, Maier KJ, Gradl G, Buecking B, Sonmez TT, Modabber A, Prescher A, Pape HC (2016) Rotationally stable screw-anchor with locked trochanteric stabilizing plate versus proximal femoral nail antirotation in the treatment of AO/OTA 31A2.2 fracture: a biomechanical evaluation. J Orthop Trauma 30:e12–e18PubMedCrossRef Knobe M, Nagel P, Maier KJ, Gradl G, Buecking B, Sonmez TT, Modabber A, Prescher A, Pape HC (2016) Rotationally stable screw-anchor with locked trochanteric stabilizing plate versus proximal femoral nail antirotation in the treatment of AO/OTA 31A2.2 fracture: a biomechanical evaluation. J Orthop Trauma 30:e12–e18PubMedCrossRef
92.
go back to reference Liu Y, Tao R, Liu F, Wang Y, Zhou Z, Cao Y, Wang H (2010) Mid-term outcomes after intramedullary fixation of peritrochanteric femoral fractures using the new proximal femoral nail antirotation (PFNA). Injury 41:810–817PubMedCrossRef Liu Y, Tao R, Liu F, Wang Y, Zhou Z, Cao Y, Wang H (2010) Mid-term outcomes after intramedullary fixation of peritrochanteric femoral fractures using the new proximal femoral nail antirotation (PFNA). Injury 41:810–817PubMedCrossRef
93.
go back to reference Macheras GA, Koutsostathis SD, Galanakos S, Kateros K, Papadakis SA (2012) Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures? Clin Orthop Relat Res 470:3067–3076PubMedPubMedCentralCrossRef Macheras GA, Koutsostathis SD, Galanakos S, Kateros K, Papadakis SA (2012) Does PFNA II avoid lateral cortex impingement for unstable peritrochanteric fractures? Clin Orthop Relat Res 470:3067–3076PubMedPubMedCentralCrossRef
94.
go back to reference Stern R, Lubbeke A, Suva D, Miozzari H, Hoffmeyer P (2011) Prospective randomised study comparing screw versus helical blade in the treatment of low-energy trochanteric fractures. Int Orthop 35:1855–1861PubMedPubMedCentralCrossRef Stern R, Lubbeke A, Suva D, Miozzari H, Hoffmeyer P (2011) Prospective randomised study comparing screw versus helical blade in the treatment of low-energy trochanteric fractures. Int Orthop 35:1855–1861PubMedPubMedCentralCrossRef
95.
go back to reference Sawaguchi T, Sakagoshi D, Shims Y, Ito T, Goldhahn S (2014) Do Design adaptations of a trochanteric nail make sense for Asian patients? Results of a multicenter study of the PFNA-II in Japan. Injury 45:16241631CrossRef Sawaguchi T, Sakagoshi D, Shims Y, Ito T, Goldhahn S (2014) Do Design adaptations of a trochanteric nail make sense for Asian patients? Results of a multicenter study of the PFNA-II in Japan. Injury 45:16241631CrossRef
96.
go back to reference Takigami I, Matsumoto K, Ohara A, Yamanaka K, Naganawa T, Ohashi M, Date K, Shimizu K (2008) Treatment of trochanteric fractures with the PFNA (proximal femoral nail antirotation) nail system—report of early results. Bull NYU Hosp Jt Dis 66:276–279PubMed Takigami I, Matsumoto K, Ohara A, Yamanaka K, Naganawa T, Ohashi M, Date K, Shimizu K (2008) Treatment of trochanteric fractures with the PFNA (proximal femoral nail antirotation) nail system—report of early results. Bull NYU Hosp Jt Dis 66:276–279PubMed
97.
go back to reference Tang P, Hu F, Shen J, Zhang L, Zhang L (2012) Proximal femoral nail antirotation versus hemiarthroplasty: a study for the treatment of intertrochanteric fractures. Injury 43:876–881PubMedCrossRef Tang P, Hu F, Shen J, Zhang L, Zhang L (2012) Proximal femoral nail antirotation versus hemiarthroplasty: a study for the treatment of intertrochanteric fractures. Injury 43:876–881PubMedCrossRef
98.
go back to reference Tao R, Lu Y, Xu H, Zhou ZY, Wang YH, Liu F (2013) Internal fixation of intertrochanteric hip fractures: a clinical comparison of two implant designs. ScientificWorldJournal 2013:834825PubMedPubMedCentralCrossRef Tao R, Lu Y, Xu H, Zhou ZY, Wang YH, Liu F (2013) Internal fixation of intertrochanteric hip fractures: a clinical comparison of two implant designs. ScientificWorldJournal 2013:834825PubMedPubMedCentralCrossRef
99.
go back to reference Wild M, Jungbluth P, Thelen S, Laffree Q, Gehrmann S, Betsch M, Windolf J, Hakimi M (2010) The dynamics of proximal femoral nails: a clinical comparison between PFNA and Targon PF. Orthopedics 33 Wild M, Jungbluth P, Thelen S, Laffree Q, Gehrmann S, Betsch M, Windolf J, Hakimi M (2010) The dynamics of proximal femoral nails: a clinical comparison between PFNA and Targon PF. Orthopedics 33
100.
go back to reference Xu Y, Geng D, Yang H, Wang X, Zhu G (2010) Treatment of unstable proximal femoral fractures: comparison of the proximal femoral nail antirotation and gamma nail 3. Orthopedics 33:473PubMed Xu Y, Geng D, Yang H, Wang X, Zhu G (2010) Treatment of unstable proximal femoral fractures: comparison of the proximal femoral nail antirotation and gamma nail 3. Orthopedics 33:473PubMed
101.
go back to reference Xu YZ, Geng DC, Mao HQ, Zhu XS, Yang HL (2010) A comparison of the proximal femoral nail antirotation device and dynamic hip screw in the treatment of unstable pertrochanteric fracture. J Int Med Res 38:12661275 Xu YZ, Geng DC, Mao HQ, Zhu XS, Yang HL (2010) A comparison of the proximal femoral nail antirotation device and dynamic hip screw in the treatment of unstable pertrochanteric fracture. J Int Med Res 38:12661275
102.
go back to reference Yaozeng X, Dechun G, Huilin Y, Guangming Z, Xianbin W (2010) Comparative study of trochanteric fracture treated with the proximal femoral nail anti-rotation and the third generation of gamma nail. Injury 41:12341238CrossRef Yaozeng X, Dechun G, Huilin Y, Guangming Z, Xianbin W (2010) Comparative study of trochanteric fracture treated with the proximal femoral nail anti-rotation and the third generation of gamma nail. Injury 41:12341238CrossRef
103.
go back to reference Zeng C, Wang YR, Wei J, Gao SG, Zhang FJ, Sun ZQ, Lei GH (2012) Treatment of trochanteric fractures with proximal femoral nail antirotation or dynamic hip screw systems: a meta-analysis. J Int Med Res 40:839–851PubMedCrossRef Zeng C, Wang YR, Wei J, Gao SG, Zhang FJ, Sun ZQ, Lei GH (2012) Treatment of trochanteric fractures with proximal femoral nail antirotation or dynamic hip screw systems: a meta-analysis. J Int Med Res 40:839–851PubMedCrossRef
104.
go back to reference Knobe M, Gradl G, Buecking B, Gackstatter S, Sonmez TT, Ghassemi A, Stromps JP, Prescher A, Pape HC (2015) Locked minimally invasive plating versus fourth generation nailing in the treatment of AO/OTA 31A2.2 fractures: a biomechanical comparison of PCCP((R)) and Intertan nail((R)). Injury 46:1475–1482PubMedCrossRef Knobe M, Gradl G, Buecking B, Gackstatter S, Sonmez TT, Ghassemi A, Stromps JP, Prescher A, Pape HC (2015) Locked minimally invasive plating versus fourth generation nailing in the treatment of AO/OTA 31A2.2 fractures: a biomechanical comparison of PCCP((R)) and Intertan nail((R)). Injury 46:1475–1482PubMedCrossRef
105.
go back to reference Kim SY, Kim YG, Hwang JK (2005) Cementless calcar-replacement hemiarthroplasty compared with intramedullary fixation of unstable intertrochanteric fractures. A prospective, randomized study. J Bone Joint Surg Am 87:2186–2192PubMedCrossRef Kim SY, Kim YG, Hwang JK (2005) Cementless calcar-replacement hemiarthroplasty compared with intramedullary fixation of unstable intertrochanteric fractures. A prospective, randomized study. J Bone Joint Surg Am 87:2186–2192PubMedCrossRef
106.
go back to reference Kim Y, Moon J, Hwang K, Choi I, Kim Y (2014) Cementless bipolar hemiarthroplasty for unstable intertrochanteric fractures in octogenarians. Acta Orthop Traumatol Turc 48:424–430PubMedCrossRef Kim Y, Moon J, Hwang K, Choi I, Kim Y (2014) Cementless bipolar hemiarthroplasty for unstable intertrochanteric fractures in octogenarians. Acta Orthop Traumatol Turc 48:424–430PubMedCrossRef
107.
go back to reference Stappaerts KH, Deldycke J, Broos PL, Staes FF, Rommens PM, Claes P (1995) Treatment of unstable peritrochanteric fractures in elderly patients with a compression hip screw or with the Vandeputte (VDP) endoprosthesis: a prospective randomized study. J Orthop Trauma 9:292297 Stappaerts KH, Deldycke J, Broos PL, Staes FF, Rommens PM, Claes P (1995) Treatment of unstable peritrochanteric fractures in elderly patients with a compression hip screw or with the Vandeputte (VDP) endoprosthesis: a prospective randomized study. J Orthop Trauma 9:292297
108.
go back to reference Emami M, Manafi A, Hashemi B, Nemati A, Safari S (2013) Comparison of intertrochanteric fracture fixation with dynamic hip screw and bipolar hemiarthroplasty techniques. Arch Bone Joint Surg 1:14–17PubMedPubMedCentral Emami M, Manafi A, Hashemi B, Nemati A, Safari S (2013) Comparison of intertrochanteric fracture fixation with dynamic hip screw and bipolar hemiarthroplasty techniques. Arch Bone Joint Surg 1:14–17PubMedPubMedCentral
109.
go back to reference Broos P, Willemsen P, Rommens P, Stappaerts K, Gruwez J (1989) Pertrochanteric fractures in elderly patients. Treatment with a longstem/long-neck endoprosthesis. Unfallchirurg 62:234–239 Broos P, Willemsen P, Rommens P, Stappaerts K, Gruwez J (1989) Pertrochanteric fractures in elderly patients. Treatment with a longstem/long-neck endoprosthesis. Unfallchirurg 62:234–239
110.
go back to reference Broos P, Rommens P, Deleyn P, Geens V, Stappaerts K (1991) Pertrochanteric fractures in the elderly: are there indications for primary prosthetic replacement? J Orthop Trauma 5:446–451PubMedCrossRef Broos P, Rommens P, Deleyn P, Geens V, Stappaerts K (1991) Pertrochanteric fractures in the elderly: are there indications for primary prosthetic replacement? J Orthop Trauma 5:446–451PubMedCrossRef
111.
go back to reference Bonnevialle P, Saragaglia D, Ehlinger M, Tonetti J, Maisse N, Adam P, Le Gall C (2011) Trochanteric locking nail versus arthroplasty in unstable intertrochanteric fracture in patients aged over 75 years. Orthop Traumatol Surg Res 97:S95–S100PubMedCrossRef Bonnevialle P, Saragaglia D, Ehlinger M, Tonetti J, Maisse N, Adam P, Le Gall C (2011) Trochanteric locking nail versus arthroplasty in unstable intertrochanteric fracture in patients aged over 75 years. Orthop Traumatol Surg Res 97:S95–S100PubMedCrossRef
112.
go back to reference Claes H, Broos P, Stappaerts K (1985) Pertrochanteric fractures in elderly patients: treatment with Ender’s nails, blade-plate or endoprosthesis? Injury 16:261–264PubMedCrossRef Claes H, Broos P, Stappaerts K (1985) Pertrochanteric fractures in elderly patients: treatment with Ender’s nails, blade-plate or endoprosthesis? Injury 16:261–264PubMedCrossRef
113.
go back to reference Sinno K, Sakr M, Girar J, Khatib H (2010) The effectiveness of primary bipolar arthroplasty in treatment of unstable intertrochanteric fractures in elderly patients. North Am J Med Sci 2:561–568CrossRef Sinno K, Sakr M, Girar J, Khatib H (2010) The effectiveness of primary bipolar arthroplasty in treatment of unstable intertrochanteric fractures in elderly patients. North Am J Med Sci 2:561–568CrossRef
114.
go back to reference Kayali C, Agus H, Ozluk S (2006) Treatment for unstable intertrochanteric fractures in elderly patients: internal fixation versus cone hemiarthroplasty. J Orthop Surg 14:240–244 Kayali C, Agus H, Ozluk S (2006) Treatment for unstable intertrochanteric fractures in elderly patients: internal fixation versus cone hemiarthroplasty. J Orthop Surg 14:240–244
115.
go back to reference Patil A, Ansari M, Pathak A, Goregaonkar AB, Thakker CJ (2013) Role of Cemented Bipolar Hemiarthroplasty for Comminuted Inter-trochanteric Femur Fracture in elderly osteoporotic patients through a modified Transtrochanteric approach-“SION Hospital Modification”. IOSR J Dental Med Sci 9:40–47CrossRef Patil A, Ansari M, Pathak A, Goregaonkar AB, Thakker CJ (2013) Role of Cemented Bipolar Hemiarthroplasty for Comminuted Inter-trochanteric Femur Fracture in elderly osteoporotic patients through a modified Transtrochanteric approach-“SION Hospital Modification”. IOSR J Dental Med Sci 9:40–47CrossRef
116.
go back to reference Cho S, Cho H, Cho H (2014) Primary cementless hip arthroplasty in unstable intertrochanteric femur fracture in elderlys: short-term results. Hip Pelvis 26:157–165CrossRef Cho S, Cho H, Cho H (2014) Primary cementless hip arthroplasty in unstable intertrochanteric femur fracture in elderlys: short-term results. Hip Pelvis 26:157–165CrossRef
Metadata
Title
Intertrochanteric fractures: a review of fixation methods
Authors
Senthil Nathan Sambandam
Jayadev Chandrasekharan
Varatharaj Mounasamy
Cyril Mauffrey
Publication date
01-05-2016
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2016
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-016-1757-z

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