TRAUMA
No difference in blade- & screw-fixation device cut-out rates in trochanteric fractures
Eur J Orthop Surg Traumatol. 2014 Dec;24(8):1461-8Six randomized controlled trials were included in this meta-analysis comparing helical blade implants to screw implants in the treatment of trochanteric fractures. The purpose was to determine, primarily, if there was a difference between groups in cut-out rate. Comparisons for both implants were drawn based on implant positioning, complications apart from cut-out, operative time, fluoroscopy time, and postoperative function. Meta-analysis demonstrated no significant difference between implants types in cut-out rate. The only parameters in which groups significantly differed were operative and fluoroscopy time, both of which were shorter with helical blade implants.
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