CEPHALOMEDULLARYS FRACTURE FIXATION IN THE MANAGEMENT OF UNSTABLE HIP FRACTURES.

Abstract

Introduction: unstable hip fractures in elderly people are a public health problem. The treatment is carried out with osteolysis and cephalomedullarys bone nails of which there are others designs. Objective: to determine in the clinical results whether there are differences between PF Targon bone nails and TFN spiral plate. Methods: prospective study was carried out in 69 patients who presented unstable intertrochanteric fracture. The patients were taken to surgery for osteosynthesis with cephalomedullarys bone nails. They were divided in two groups: [A] Two screws fixation in neck (PF Targon) and [B] (TFN) spiral plate. For both groups were performed by conventional surgical technique and evaluated the surgical time, the bleeding, the intraoperative complications, the functionality results, clinical and radiological consolidation. Results: the procedure was followed in an average of 23 months. No differences were observed in the return of functionality between the use of an implant or other. Complications with Cut Out were more frequent and PF Targon not in the right position without significant difference. Surgical time was lower with TFN, 62.4 ± 15.7 minutes, while with Targon-PF was 86.5 ± 31.7 minutes p<0.0002. Conclusion: no significant differences were observed in the clinical results between the use of PF Targon bone nails and TFN spiral plate. Rev. cienc.biomed. 2015;6(2):265-271 KEY WORDS Bone Nails, Fracture Fixation, Hip.

Keywords

• Bone Nails
• Fracture Fixation
• Hip