TRAUMA
Femoral fractures: intramedullary nails result in more fixation failures and re-operations
Int Orthop. 2006 Apr;30(2):69-78. Epub 2006 Feb 22This meta-analysis identified 24 randomized trials that compared the use of intramedullary nails (IMN) to the sliding hip screw (SHS) in the treatment of stable and unstable extracapsular proximal femoral fractures. A total of 3,202 patients (3,279 fractures) were identified from the included studies. Results from this analysis indicated that intramedullary nails lead to increased fixation failure and rate of re-operation compared to the sliding hip screws in all fracture types.
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