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OTA2018: Improved surgical results, similar patient outcome with short vs long nail for hip Frx

220 patients with a pertrochanteric fracture and scheduled for cephalomedullary nail fixation were randomized to receive either a short or long cephalomedullary nail. Primary outcome of interest was patient reported outcome at 3 months postoperatively on the SF-36 and Harris Hip Score measures. Secondary outcomes included incidence of complications and reoperation, and perioperative parameters (operative time, blood loss, length of stay). Results demonstrated a nonsignificant difference between groups in SF-36 scores, and statistically-significant-but-not-clinically-relevant difference in HHS. Perioperative parameters all favoured the short nail group, while incidences of complications and reoperations did not significantly differ between groups.

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  • Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
  • Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
  • Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
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OrthoEvidence. OTA2018: Improved surgical results, similar patient outcome with short vs long nail for hip Frx. ACE Report. 2018;8(10):64. Available from: https://myorthoevidence.com/AceReport/Report/

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