Mason Poffenbarger, Neil Werthmann, Kisan Parikh, John Riehl
{"title":"钢板、短钉还是长钉？股骨转子周围骨折三种不同治疗方法的翻修率和并发症","authors":"Mason Poffenbarger, Neil Werthmann, Kisan Parikh, John Riehl","doi":"10.1016/j.jor.2024.10.022","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>We sought to investigate the relationship between peritrochanteric femur fracture (OTA 31A fractures) fixation and rates of peri-implant fracture, rates of transfusion, and the rates of increased dependence after secondary surgery for fracture for short cephalomedullary nails (SCMN), long cephalomedullary nails (LCMN), and plate and screw devices (PSD).</div></div><div><h3>Methods</h3><div>Multi center retrospective study involving data collected from 151 Level I-IV trauma centers using ICD9/10 and CPT codes for identification. 13,197 patients with peritrochanteric femur fractures between 2016 and 2021 were included in analysis.</div></div><div><h3>Results</h3><div>We report no significant difference in peri-implant fractures in extramedullary and intramedullary devices (LCMN 50, 0.84 %; SCMN 57, 0.88 %; PSD 6, 0.74 %; p = 0.91) as well as no significant difference in the rates of discharge to home after surgical fixation of a peri-implant fracture.</div></div><div><h3>Conclusions</h3><div>There is no difference in peri-implant fracture rates between SCMN, LCMN, and PSD methods of fixation for peritrochanteric femur fractures. Therefore, longer implants do not seem to protect the femur from future peri-implant fracture when compared to shorter implants. Further analysis is needed to more fully elucidate the morbidity associated with readmission and revision of peri-implant fractures following fixation of peritrochanteric femur fractures.</div></div><div><h3>Level of evidence</h3><div>Therapeutic Level III.</div></div>","PeriodicalId":16633,"journal":{"name":"Journal of orthopaedics","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Plate, short nail, or long nail? Revision rates and complications of three different treatments for peritrochanteric femur fractures\",\"authors\":\"Mason Poffenbarger, Neil Werthmann, Kisan Parikh, John Riehl\",\"doi\":\"10.1016/j.jor.2024.10.022\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>We sought to investigate the relationship between peritrochanteric femur fracture (OTA 31A fractures) fixation and rates of peri-implant fracture, rates of transfusion, and the rates of increased dependence after secondary surgery for fracture for short cephalomedullary nails (SCMN), long cephalomedullary nails (LCMN), and plate and screw devices (PSD).</div></div><div><h3>Methods</h3><div>Multi center retrospective study involving data collected from 151 Level I-IV trauma centers using ICD9/10 and CPT codes for identification. 13,197 patients with peritrochanteric femur fractures between 2016 and 2021 were included in analysis.</div></div><div><h3>Results</h3><div>We report no significant difference in peri-implant fractures in extramedullary and intramedullary devices (LCMN 50, 0.84 %; SCMN 57, 0.88 %; PSD 6, 0.74 %; p = 0.91) as well as no significant difference in the rates of discharge to home after surgical fixation of a peri-implant fracture.</div></div><div><h3>Conclusions</h3><div>There is no difference in peri-implant fracture rates between SCMN, LCMN, and PSD methods of fixation for peritrochanteric femur fractures. Therefore, longer implants do not seem to protect the femur from future peri-implant fracture when compared to shorter implants. Further analysis is needed to more fully elucidate the morbidity associated with readmission and revision of peri-implant fractures following fixation of peritrochanteric femur fractures.</div></div><div><h3>Level of evidence</h3><div>Therapeutic Level III.</div></div>\",\"PeriodicalId\":16633,\"journal\":{\"name\":\"Journal of orthopaedics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2024-10-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of orthopaedics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0972978X24003507\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0972978X24003507","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
Plate, short nail, or long nail? Revision rates and complications of three different treatments for peritrochanteric femur fractures
Background
We sought to investigate the relationship between peritrochanteric femur fracture (OTA 31A fractures) fixation and rates of peri-implant fracture, rates of transfusion, and the rates of increased dependence after secondary surgery for fracture for short cephalomedullary nails (SCMN), long cephalomedullary nails (LCMN), and plate and screw devices (PSD).
Methods
Multi center retrospective study involving data collected from 151 Level I-IV trauma centers using ICD9/10 and CPT codes for identification. 13,197 patients with peritrochanteric femur fractures between 2016 and 2021 were included in analysis.
Results
We report no significant difference in peri-implant fractures in extramedullary and intramedullary devices (LCMN 50, 0.84 %; SCMN 57, 0.88 %; PSD 6, 0.74 %; p = 0.91) as well as no significant difference in the rates of discharge to home after surgical fixation of a peri-implant fracture.
Conclusions
There is no difference in peri-implant fracture rates between SCMN, LCMN, and PSD methods of fixation for peritrochanteric femur fractures. Therefore, longer implants do not seem to protect the femur from future peri-implant fracture when compared to shorter implants. Further analysis is needed to more fully elucidate the morbidity associated with readmission and revision of peri-implant fractures following fixation of peritrochanteric femur fractures.
期刊介绍：
Journal of Orthopaedics aims to be a leading journal in orthopaedics and contribute towards the improvement of quality of orthopedic health care. The journal publishes original research work and review articles related to different aspects of orthopaedics including Arthroplasty, Arthroscopy, Sports Medicine, Trauma, Spine and Spinal deformities, Pediatric orthopaedics, limb reconstruction procedures, hand surgery, and orthopaedic oncology. It also publishes articles on continuing education, health-related information, case reports and letters to the editor. It is requested to note that the journal has an international readership and all submissions should be aimed at specifying something about the setting in which the work was conducted. Authors must also provide any specific reasons for the research and also provide an elaborate description of the results.
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