159 COMPARATIVE STUDY OF VARIOUS TREATMENT METHODS FOR TRANSTROCHANTERIC FRACTURES. PRELIMINARY RESULTS.

Abstract

The presentation of results of this comparative study on the various methods of treatment for Transtrochanteric fractures.

From 2006 to 2008 we treated 272 Transtrochanteric fractures, in 75 with DHS, 116 with G3-nail (STRIKER) and 91 with F-nail (ARITI) where antjrotation screw was applied in the 37 (type F) while in the remained 54 was not applied (type G). We compared the duration of surgery, the need for transfusion, the post surgical difference of Hb, the starting day for weight bearing on the fractured limp, the days of hospitalisation and the complications between the different methods.

The patients were separated in 4 groups regarding the method of treatment (A: DHS, B: G3-nail, C: F-nail type F and D: F-nail type G). They did not differ statistically significant regarding age, sex as well as the time of the surgery from the admission. There were no difference in the duration of surgery, the need for transfusion and changes in Hb and the days of hospitalisation. Difference not statistically significant existed in the starting day for weight bearing on the fractured limp (A:3.1, B:2.5, C:2.9, D:3.0). Regarding complications D group had an incident of broken peripheral screw and C group one of broken nail after fall of the patient.

No method of treatment seams to be superior regarding incidents during hospitalisation. More data are expected to compare these methods on the issues of rehabilitation, complications and mortality