Use of Cemented TFNA Nail Augmentation in the Treatment of Trochanterian Rock Fractures in Patients Over 65 Years of Age
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 61
- 试验地点
- 1
- 主要终点
- Fixation failure rate (cut-out or cut-through)
研究概览
简要总结
Intramedullary nailing is the standard treatment of trochanteric fractures. Mechanical failure such as cut-out and cut-through are associated with high rates of revision surgery, functional impairment and mortality. Augmentation of the implant have shown encouraging results in reducing the number of mechanical failures. The aim of the study was to evaluate the rate of mechanical failure of the cement augmented screws of TFNA nails.
A descriptive, retrospective, multi-operator, single-centre study was performed at our level 1 trauma centre. Patients were included if they were > 65 years of age, presented with a trochanteric fracture treated with an augmented TFNA nail. The primary outcome was fixation failure rate (cut-out or cut-through) at 3 and 6 postoperative months. Secondary endpoints were intraoperative data, clinical scores, and radiographic analysis.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •> 65 years of age
- •a trochanteric fracture that occurred through a low-energy mechanism
- •an augmented TFNA nail
排除标准
- •pathological fracture
- •open fracture
- •hips with pre-existing deformities other than osteoarthritis
- •a history of hip surgery
- •an insufficient quantity of injected cement (< 3 mL).
结局指标
主要结局
Fixation failure rate (cut-out or cut-through)
时间窗: change at 3 and 6 postoperative months
On X rays
次要结局
- duration of hospitalisation(once)
- EuroQoL 5-Dimensions score(change at 3 and 6 postoperative months)
- length of surgery(at 3 and 6 postoperative months)
- Harris Hip Score(at 3 and 6 postoperative months)
- TFNA screw position(once)
- the need for revision surgery(at 3 and 6 postoperative months)
- analysis evaluating quality of reduction(once)
- Augmentation volume(once)
- radiation exposure(once)
- Intraoperative adverse events(once)
- Visual Analogue Scale score(at 3 and 6 postoperative months)
- Parker Mobility Score(at 3 and 6 postoperative months)
- distribution of cement on either side of the cervicocephalic screw(once)
- postoperative complications(at 3 and 6 postoperative months)
- the tip-apex distance(once)