Proximal femoral nails antirotation, Gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur A meta-analysis》.pdf

Orthopaedics Traumatology: Surgery Research 100 (2014) 859–866 Available online at ScienceDirect Original article Proximal femoral nails antirotation, Gamma nails, and dynamic hip screws for fixation of intertrochanteric fractures of femur: A meta-analysis K.-L. Ma a , X. Wang b , F.-J. Luan a , H.-T. Xu a , Y. Fang c,∗ , J. Min a , H.-X. Luan a , F. Yang a , H. Zheng a , S.-J. He a a Yongchuan Hospital, Chongqing Medical University, Hua Road, No. 439, Yongchuan, Chongqing 402160, China b The Chinese Medicine Hospital of Suqian, Hengshan Road No. 1, Suqian 223800, China c West China Hospital, Sichuan University, Lane Sinology No. 37, Chengdu 610041, China a r t i c l e i n f o a b s t r a c t Article history: Background: Which surgical strategy is the best one for intertrochanteric fractures remains a controver- Accepted 17 July 2014 sial issue. Dynamic hip screw (DHS) and Gamma nail were commonly used but often associated with some complications, such as fixation failure and implant-related fractures. Meanwhile, proximal femoral Keywords: nail anti-rotation (PFNA) fixation has recently been developed for minimally invasive surgery to reduce Intertrochanteric fractures the complications rate. To facilitate the clinical decision-making, we conducted an updated meta-analysis Dynamic hip screw to discuss the optimal treatment of intertrochanteric fractures aiming to determine which implant gives Gamma nail the lower rates of blo