Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review

Intertrochanteric fractures, accountable for 50% of hip fractures, can be fixed with cephalomedullary devices such as Proximal Femoral Nail Antirotation (PFNA™), Gamma3 nailing system and TRIGEN™ InterTAN™ nail (IT). IT uniquely uses two cephalocervical screws that allow for linear compression and p...

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मुख्य लेखकों: Akshay Date, Mrinalini Panthula, Anita Bolina
स्वरूप: लेख
भाषा:English
प्रकाशित: Taylor & Francis Group 2021-01-01
श्रृंखला:Future Science OA
ऑनलाइन पहुंच:https://www.future-science.com/doi/10.2144/fsoa-2020-0182
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author Akshay Date
Mrinalini Panthula
Anita Bolina
author_facet Akshay Date
Mrinalini Panthula
Anita Bolina
author_sort Akshay Date
collection DOAJ
description Intertrochanteric fractures, accountable for 50% of hip fractures, can be fixed with cephalomedullary devices such as Proximal Femoral Nail Antirotation (PFNA™), Gamma3 nailing system and TRIGEN™ InterTAN™ nail (IT). IT uniquely uses two cephalocervical screws that allow for linear compression and provide additional resistance to femoral head rotation. A literature review assessing clinical outcomes of these devices was conducted, with 14 studies enrolling 3104 patients meeting the inclusion criteria. PFNA and Gamma3 had better intraoperative outcomes compared with IT; however, IT had superior implant-related outcomes of cut-out and screw migration. No difference was found between IT and PFNA or Gamma3 in Harris Hip Scores, time to union, malunion and nonunion. Further long-term studies are needed to evaluate clinical outcomes and cost–effectiveness of cephalomedullary devices.
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spelling doaj.art-3d84d57b51cb41c5a69d5f3ca0c0f4eb2024-11-03T00:13:06ZengTaylor & Francis GroupFuture Science OA2056-56232021-01-017110.2144/fsoa-2020-0182Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic reviewAkshay Date0Mrinalini Panthula1Anita Bolina21Basildon and Thurrock University Hospital, Nethermayne, Basildon, Essex, SS16 5NL, UK2Imperial College London, Exhibition Road, South Kensington, London SW7 2BU, UK2Imperial College London, Exhibition Road, South Kensington, London SW7 2BU, UKIntertrochanteric fractures, accountable for 50% of hip fractures, can be fixed with cephalomedullary devices such as Proximal Femoral Nail Antirotation (PFNA™), Gamma3 nailing system and TRIGEN™ InterTAN™ nail (IT). IT uniquely uses two cephalocervical screws that allow for linear compression and provide additional resistance to femoral head rotation. A literature review assessing clinical outcomes of these devices was conducted, with 14 studies enrolling 3104 patients meeting the inclusion criteria. PFNA and Gamma3 had better intraoperative outcomes compared with IT; however, IT had superior implant-related outcomes of cut-out and screw migration. No difference was found between IT and PFNA or Gamma3 in Harris Hip Scores, time to union, malunion and nonunion. Further long-term studies are needed to evaluate clinical outcomes and cost–effectiveness of cephalomedullary devices.https://www.future-science.com/doi/10.2144/fsoa-2020-0182
spellingShingle Akshay Date
Mrinalini Panthula
Anita Bolina
Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review
Future Science OA
title Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review
title_full Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review
title_fullStr Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review
title_full_unstemmed Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review
title_short Comparison of clinical and radiological outcomes in intertrochanteric fractures treated with InterTAN nail against conventional cephalomedullary nails: a systematic review
title_sort comparison of clinical and radiological outcomes in intertrochanteric fractures treated with intertan nail against conventional cephalomedullary nails a systematic review
url https://www.future-science.com/doi/10.2144/fsoa-2020-0182
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AT anitabolina comparisonofclinicalandradiologicaloutcomesinintertrochantericfracturestreatedwithintertannailagainstconventionalcephalomedullarynailsasystematicreview