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Medical Science Review (MSR) has developed as an independent title in 2014 as a continuation of highly successful Review Section of the Medical Science Monitor (since 1995). The aim of the Journal is to gather review articles across all medical disciplines, thereby integrating international medical knowledge. Medical Science Review has adopted the Open Access publishing model which enables free access... read more

Published: 2015-09-03

A Meta-Analysis of Dynamic Hip Screw and Proximal Femoral Nail for Treatment of Intertrochanteric Fractures

Yong-tao Zhang, Jing Niu, Xin-zhi Chen, Zai-jie Tian, Guo-yong Qiao, Wen-ge Wang, Zhi-jie Li

(Department of Orthopaedics, Affiliated Hospital of Hebei University of Engineering, Handan, Hebei, China (mainland))

Med Sci Rev 2015; 2:73-80

DOI: 10.12659/MSRev.894735

ABSTRACT: Background: The purpose of this meta-analysis was to compare the outcomes of dynamic hip screw (DHS) and proximal femoral nail (PFN) in the treatment of intertrochanteric fractures based on the current evidence.
Material and Methods: We searched for relevant studies in the following databases: Cochrane Library, Medline, Embase, and CNKI (China National Knowledge Infrastructure) up to May 2014. All randomized or quasi-randomized controlled trials comparing DHS and PFN in the treatment of intertrochanteric fractures were included. Data was extracted independently for meta-analysis. The software Stata 12.0 version was used to perform all the analyses.
Results: Seven trials involving 792 cases of intertrochanteric fractures treated by DHS fixation (418) and PFN fixation (374) were included in the meta-analysis. Tow implants had similar operation time, blood loss, and hospital stay. The rate of wound complication, lag screw cut-out, and reoperation was not significantly different between the 2 groups.
Conclusions: DHS fixation and PFN fixation show the similar effectiveness in the treatment of intertrochanteric fractures based on the current evidence. The outcomes will ultimately require a rigorous and adequately powered randomized controlled trial to verify our results.

Keywords: Femoral Fractures, Hip Fractures, meta-analysis, Nails

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