Blood loss in trochanteric fractures: multivariate analysis comparing dynamic hip screw and Gamma nail

Injury ◽  
2017 ◽  
Vol 48 ◽  
pp. S44-S47 ◽  
Author(s):  
Mario Ronga ◽  
Daniele Bonzini ◽  
Marco Valoroso ◽  
Giuseppe La Barbera ◽  
Jacopo Tamini ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Blood Loss ◽  
Gamma Nail ◽  
Dynamic Hip Screw ◽  
Trochanteric Fractures ◽  
Hip Screw

scholarly journals A comparative study between dynamic hip screw and intramedullary nail fixation in trochanteric fractures

2021 ◽  
Vol 7 (4) ◽  
pp. 794
Author(s):  
Krishan Kumar ◽  
Anurag Chhabra ◽  
Ashok Kumar ◽  
Sourabh Jain ◽  
Ankush Berwal
Keyword(s):  
Blood Loss ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Common Type ◽  
Dynamic Hip Screw ◽  
Harris Hip Score ◽  
Trochanteric Fractures ◽  
Surgical Time ◽  
Significant Difference ◽  
Hip Screw

<p class="abstract"><strong>Background:</strong> The trochanteric fractures are one of the commonest fractures in elderly population. Incidence of these fractures is increasing due to better life expectancy, growing number of population, industrialization and the road traffic accidents. Variety of implants are available but still there is no consensus for single implant.</p><p class="abstract"><strong>Methods:</strong> A prospective randomized control study was conducted on total 60 patients of intertrochanteric fractures which were randomized into 2 groups of 30 each, treated with dynamic hip screw (DHS) and proximal femoral nail (PFN). All the patients were followed up for a maximum of 6 months. Outcomes were reviewed and compared such as mode of injury, complications, functional and radiological outcomes.<strong></strong></p><p class="abstract"><strong>Results:</strong> There was no significant difference between two groups of patients as regards to mean age and sex. The mode of injury by slip and fall was main cause. The most common type of fracture as per AO-orthopaedic trauma association (OTA) classification was 31-A2 (65%) and 31-A3 (5%) being the least common type. Mean surgical time of DHS group and PFN group was 125.17 minutes and 89.93 minutes respectively. Mean blood loss in DHS group and PFN group was 251.67 ml and 158.67 ml respectively. Mean radiological union time of fracture in DHS group and PFN group was 12.3 and 9.5weeks respectively. Mean Harris hip score at six month in DHS group and PFN group was 80.77 and 85.47 respectively.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that though both the implants can achieve comparable union rates but PFN are better than DHS as of better Harris hip score, shorter surgical time and less intra operative blood loss.</p>

scholarly journals Treatment of Trochanteric Fractures with Proximal Femoral Nail Antirotation or Dynamic Hip Screw Systems: A Meta-Analysis

2012 ◽  
Vol 40 (3) ◽  
pp. 839-851 ◽  
Author(s):  
C Zeng ◽  
Y-R Wang ◽  
J Wei ◽  
S-G Gao ◽  
F-J Zhang ◽  
...  
Keyword(s):  
Blood Loss ◽  
Meta Analysis ◽  
Dynamic Hip Screw ◽  
Proximal Femoral Nail ◽  
Intraoperative Blood Loss ◽  
Trochanteric Fractures ◽  
Fixation Failure ◽  
Duration Of Surgery ◽  
Hip Screw ◽  
Proximal Femoral Nail Antirotation

OBJECTIVE: A meta-analysis to compare the intraoperative and postoperative outcome data for the proximal femoral nail antirotation (PFNA) and dynamic hip screw (DHS) implant systems for the treatment of patients with trochanteric fractures. METHODS: A detailed search of several electronic databases was undertaken to identify randomized controlled trials published before 5 December 2011 that compared PFNA with DHS in patients with trochanteric fractures. RESULTS: A quantitative meta-analysis of 11 studies including 798 patients was performed. PFNA was associated with significant reductions in duration of surgery (weighted mean difference [WMD] −21.38 min; 95% confidence interval [CI] −33.50, −9.26 min), intraoperative blood loss (WMD −176.36 ml; 95% CI −232.20, −120.52 ml), rate of fixation failure (relative risk [RR] 0.27, 95% CI 0.11, 0.62) and rate of postoperative complications (RR 0.46; 95% CI 0.31, 0.70) compared with DHS. CONCLUSION: The use of PFNA for treatment of trochanteric fractures was found to be superior to DHS in terms of the duration of surgery, intraoperative blood loss, and rates of fixation failure and overall complications.

A35 Comparative study of trochanteric fractures treated with the Gamma nail-G3 and Dynamic Hip Screw. Results and clinical outcome

Injury ◽  
2011 ◽  
Vol 42 ◽  
pp. S9 ◽  
Author(s):  
V. Goulidakis ◽  
S. Theocharakis ◽  
A. Diakatos ◽  
D. Gourovanidis ◽  
E. Drakoulakis ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Comparative Study ◽  
Gamma Nail ◽  
Dynamic Hip Screw ◽  
Trochanteric Fractures ◽  
Hip Screw

scholarly journals Use of Tranexamic Acid in Dynamic Hip Screw Plate Fixation for Trochanteric Fractures

2016 ◽  
Vol 24 (3) ◽  
pp. 379-382 ◽  
Author(s):  
Ranjit Kumar Baruah ◽  
Pranab Jyoti Borah ◽  
Russel Haque
Keyword(s):  
Adverse Event ◽  
Blood Transfusion ◽  
Blood Loss ◽  
Plate Fixation ◽  
Trochanteric Fracture ◽  
Dynamic Hip Screw ◽  
Trochanteric Fractures ◽  
Control Groups ◽  
Hip Screw ◽  
And Control

Purpose To evaluate perioperative blood loss and blood transfusion requirement in patients who underwent dynamic hip screw plate fixation for a stable trochanteric fracture with or without preoperative intravenous tranexamic acid (TXA). Methods 49 men and 11 women (mean age, 56.5 years) who underwent open reduction and internal fixation with a dynamic hip screw plate for a stable trochanteric fracture by a single surgeon were equally randomised to receive either a single dose of intravenous TXA (15 mg/kg) 15 minutes prior to surgery or an equal volume of normal saline by slow infusion. Intra- and post-operative blood loss and the need for blood transfusion were assessed, as was any thromboembolic adverse event. Results The TXA and control groups were comparable in terms of age, gender, body mass index, blood pressure, pulse rate, time from injury to surgery, operating time, and preoperative haematological data. Blood loss was lower in the TXA than control group intraoperatively (320.3 vs. 403.33 ml, p<0.001), during 0 to 24 hours (61.67 vs. 186.67 ml, p<0.001), and during 24 to 48 hours (27 vs. 86.67 ml, p<0.001), as well as the total volume (408.97 vs. 676.67 ml, p<0.001). Respectively for the TXA and control groups, 27 and 30 required 28 and 41 units of blood intra-operatively (p<0.001), and 6 and 15 required 6 and 15 units of blood postoperatively (p=0.014). No patient had any thromboembolic adverse event. Conclusion TXA is safe and effective in reducing blood loss in dynamic hip screw plate fixation for stable trochanteric fractures.

Gotfried percutaneous compression plating (PCCP) versus dynamic hip screw (DHS) in hip fractures: blood loss and 1-year mortality

2014 ◽  
Vol 26 (5) ◽  
pp. 497-503 ◽  
Author(s):  
Diego Gaddi ◽  
Giorgio Piarulli ◽  
Andrea Angeloni ◽  
Marta Gandolla ◽  
Daniele Munegato ◽  
...  
Keyword(s):  
Blood Loss ◽  
Hip Fractures ◽  
Dynamic Hip Screw ◽  
Hip Screw ◽  
Compression Plating

scholarly journals Treatment of Unstable Trochanteric Fractures Using Dynamic Hip Screw Combined with Additional Buttress Plate.

1992 ◽  
Vol 41 (1) ◽  
pp. 228-232
Author(s):  
Takeshi Saito ◽  
Masashi Sagara ◽  
Hiroshi Inoue ◽  
Jyouji Noguchi ◽  
Iwao Yanagida ◽  
...  
Keyword(s):  
Dynamic Hip Screw ◽  
Trochanteric Fractures ◽  
Hip Screw ◽  
Buttress Plate
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