|Beitragstitel||Evaluation of the ORTHOFIX CHIMAERA nailing system for trochanteric fracture treatment.|
The number of people sustaining a hip fracture continues to rise worldwide due to an increasingly aging population. Approximately 50% of all hip fractures are extracapsular, which can be treated with intramedullary nails.
Evaluation of the surgical management, outcome and complications in the first 50 patients treated with the ORTHOFIX CHIMAERA nailing system for trochanteric fractures in our institution.
MATERIAL AND METHOD
Since October 2016, 50 consecutive patients with a trochanteric fracture were treated with the ORTHOFIX CHIMAERA nailing system. Skin-to-skin time, fluoroscopy time, intraoperative complications were recorded for each patient. Follow-up postoperative assessment was undertaken at 6 and 12 weeks. Radiological assessments were performed before and after the surgery, and during the follow-up (fracture reduction, cervical screw position, consolidation or collapse signs). The results were compared with those of a previous serie of 50 patients treated with Gamma 3 nails.
The median operation time from cut to stich was 54 min. The median fluoroscopy time was 62 sec. No intraoperative implant-related complication was recorded. The cephalic screw position was centre-centre or inferior-center in 96% of patients. Tip-apex distance was less than 25mm in 98%. No complication (cut-out or cut through of the cervical screw, hardware failure, painful fasciae latae) occurred during assessment period.
Our preliminary results of the first 50 patients treated with the ORTHOFIX CHIMAERA nailing system for trochanteric fracture seem to be comparable to those of a previous serie of 50 patients treated with Gamma 3 nails.