J Korean Hip Soc.  2008 Dec;20(4):278-285. 10.5371/jkhs.2008.20.4.278.

Comparison of the Targon(R)Proximal Femoral Nail and the Compression Hip Screw for Treating Intertrochateric Fracture of the Femur

• Rhyu KH
• Chae WY
• Han KY

• KMID: 2162611
• DOI: http://doi.org/10.5371/jkhs.2008.20.4.278

Abstract

PURPOSE
We wanted to compare the clinical and radiological outcomes of using compression hip screws with those of using Targon proximal femoral nails for the treatment of intertrochanteric fracture of the femur.
MATERIALS AND METHODS
From April 2001 to December 2005, we reviewed 93 patients who suffered with intertrochanteric fracture and they had a minimum follow up for 6 months (47 cases of Targon(R) proximal femoral nail (Group 1) and 46 cases of compression hip screw (Group 2))Both groups were compared with regard to the operation time, the number of transfusions, pain as analyzed by the visual analogue scale (VAS), the timing of maximum tolerable weight-bearing and the complications. Radiological assessment was directed toward the time of boney union, and we also assessed the changes observed between the immediate postoperative roentgenograms and final follow-up roentgenograms according to various parameters
RESULTS
Group 1 had significantly better clinical results for the mean operation time, the number of transfusions and the mean time to self ambulation. Radiologically, there were fewer complications such as a medially displaced femoral shaft, cut out of the lag screw and nonunion in Group1
CONCLUSION
Better clinical and radiological results can be achieved with using Targon proximal femoral nails compared with that of using compression hip screws for the treatment of intertrochanteric fracture of the femur

Keyword

Femur; Intertrochanteric fracture; Targon(R) Proximal femoral nail; Compression hip screw

MeSH Terms

Femur
Follow-Up Studies
Hip
Humans
Nails
Walking
Weight-Bearing