Comparative Analysis of Radiologic Outcomes and Mechanical Complications Associated with Four Different Proximal Femoral Nail Designs

Fatih Günaydın; İdris Demirtaş; Öner Kılınç; Bülent Sakarya

Makale detayları

Comparative Analysis of Radiologic Outcomes and Mechanical Complications Associated with Four Different Proximal Femoral Nail Designs

Yazarlar:

Fatih Günaydın | İdris Demirtaş | Öner Kılınç | Bülent Sakarya

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Ortopedi

Dergi:

Acta Medica Alanya Vol.8 Issue 3, pp.169-174

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001337172

pISSN:

2587-0319

Anahtar kelimeler:

Özet:

 Aim: This study aimed to retrospectively assess the efficacy of four commonly used Proximal Femoral Nail PFN designs in the surgical treatment of hip fractures, focusing on factors that influence patient outcomes. Patients and Methods: We evaluated 220 patients treated for extracapsular hip fractures with different PFN designs from January 1, 2017, to January 1, 2023. We reviewed patient demographics, comorbidities, anesthesia type, operative details, and postoperative radiographs. Results: A cohort of 220 patients was analyzed. Of these, 138 were female, and 82 were male. Patients were divided into four groups based on the type of PFN used. Group 1 double lag screw PFN had the best radiological outcomes with superior reduction quality and fewer complications. The groups showed no significant differences in terms of age, gender, type of anesthesia, or comorbidities. However, Group 3 Intertan PFN had a lower tip-apex distance, and Group 1 showed the fewest complications overall. Conclusion: This study demonstrates that the use of PFN with double lag screws in extracapsular hip fractures is associated with superior fracture reduction, fewer complications, and a lower incidence of nonunion.

 Aim: This study aimed to retrospectively assess the efficacy of four commonly used Proximal Femoral Nail PFN designs in the surgical treatment of hip fractures, focusing on factors that influence patient outcomes. Patients and Methods: We evaluated 220 patients treated for extracapsular hip fractures with different PFN designs from January 1, 2017, to January 1, 2023. We reviewed patient demographics, comorbidities, anesthesia type, operative details, and postoperative radiographs. Results: A cohort of 220 patients was analyzed. Of these, 138 were female, and 82 were male. Patients were divided into four groups based on the type of PFN used. Group 1 double lag screw PFN had the best radiological outcomes with superior reduction quality and fewer complications. The groups showed no significant differences in terms of age, gender, type of anesthesia, or comorbidities. However, Group 3 Intertan PFN had a lower tip-apex distance, and Group 1 showed the fewest complications overall. Conclusion: This study demonstrates that the use of PFN with double lag screws in extracapsular hip fractures is associated with superior fracture reduction, fewer complications, and a lower incidence of nonunion.

 Aim: This study aimed to retrospectively assess the efficacy of four commonly used Proximal Femoral Nail PFN designs in the surgical treatment of hip fractures, focusing on factors that influence patient outcomes. Patients and Methods: We evaluated 220 patients treated for extracapsular hip fractures with different PFN designs from January 1, 2017, to January 1, 2023. We reviewed patient demographics, comorbidities, anesthesia type, operative details, and postoperative radiographs. Results: A cohort of 220 patients was analyzed. Of these, 138 were female, and 82 were male. Patients were divided into four groups based on the type of PFN used. Group 1 double lag screw PFN had the best radiological outcomes with superior reduction quality and fewer complications. The groups showed no significant differences in terms of age, gender, type of anesthesia, or comorbidities. However, Group 3 Intertan PFN had a lower tip-apex distance, and Group 1 showed the fewest complications overall. Conclusion: This study demonstrates that the use of PFN with double lag screws in extracapsular hip fractures is associated with superior fracture reduction, fewer complications, and a lower incidence of nonunion.

 Amaç: Bu retrospektif gözlemsel kohort çalışması, ekstrakapsüler kalça kırığı ameliyatı geçiren hastalarda dört farklı Proksimal Femoral Çivi PFN tasarımının etkinliğini değerlendirmek ve hasta sonuçlarını etkileyen faktörleri araştırmayı amaçlamaktadır. Hastalar ve Yöntemler: 1 Ocak 2017den 1 Ocak 2023e kadar farklı PFN tasarımları ile ekstrakapsüler kalça kırığı nedeniyle tedavi edilen 220 hasta değerlendirildi. Hasta demografisi, komorbiditeler, anestezi tipi, ameliyat detayları ve ameliyat sonrası radyografiler incelendi. Bulgular: 220 hastadan retrospektif analiz edildi. Bu hastaların 138i kadın, 82si erkekti. Hastalar kullanılan PFN tipine göre dört gruba ayrıldı. Grup 1çift lag vadalı PFN, en iyi radyolojik sonuçlara sahip olup, daha iyi redüksiyon kalitesi ve en az komplikasyon ile öne çıktı. Gruplar arasında yaş, cinsiyet, anestezi türü veya komorbiditeler açısından anlamlı bir fark gözlenmedi. Ancak Grup 3 İntertan PFN, daha düşük tip-apeks mesafesine sahipti ve Grup 1 genel olarak en az komplikasyona sahiptir. Sonuç: Bu çalışma, ekstrakapsüler kalça kırıklarının tedavisinde çift lag vidalı PFN kullanımının daha iyi kırık redüksiyonu, daha az komplikasyon ve daha düşük kaynamama oranı ile ilişkili olduğunu göstermektedir.

Makale detayları

Comparative Analysis of Radiologic Outcomes and Mechanical Complications Associated with Four Different Proximal Femoral Nail Designs

Yazarlar:

Fatih Günaydın | İdris Demirtaş | Öner Kılınç | Bülent Sakarya

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Ortopedi

Dergi:

Acta Medica Alanya Vol.8 Issue 3, pp.169-174

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001337172

pISSN:

2587-0319

Double lag screws

Extracapsular hip fracture

Mechanical complications

PFN-A

Proximal Femoral Nail

Radiologic outcomes

Talon.Çift yivli vidalar

Ekstrakapsüler kalça kırığı

Mekanik komplikasyonlar

PFN-A

Proksimal Femoral Çivi

Radyolojik sonuçlar

Talon.

Sayı

Makale detayları

Yazarlar: Fatih Günaydın | İdris Demirtaş | Öner Kılınç | Bülent Sakarya

Yayıncı: Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar: Ortopedi

Dergi: Acta Medica Alanya Vol.8 Issue 3, pp.169-174

Belge Tipi: Makale

Yayın Tarihi: 12/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001337172

pISSN: 2587-0319

Sayı

Yazarlar:

Fatih Günaydın | İdris Demirtaş | Öner Kılınç | Bülent Sakarya

Yayıncı:

Alanya Alaaddin Keykubat Üniversitesi

Ana Başlıklar:

Ortopedi

Dergi:

Acta Medica Alanya Vol.8 Issue 3, pp.169-174

Belge Tipi:

Makale

Yayın Tarihi:

12/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001337172

pISSN:

2587-0319