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Abstract
Over a 14-month period, 100 consecutive cases of intertrochanteric fracture were randomly
allocated to be treated by either Pugh nail-plate or Dynamic Hip Screw (DHS) fixation.
Although there were 11 cases of malreduction and/or suboptimal positioning of the
fixation device in the femoral head, only two of these gave long-term problems. Despite
the difference in configuration of the devices and a considerable disparity in price,
patient satisfaction and the incidence of untoward radiological features at an average
of 6 months after surgery were similar in the two groups. A trifin-ended device would
thus appear to be a reliable alternative to the more commonly used hip screw systems
for intertrochanteric fracture.
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References
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Article info
Publication history
Accepted:
October 3,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
