Recent Advances in Clinical Trials
Open AccessImpact of Using Cephalomedullary Nails with and without Cement Augmentation in the Femoral Head to Avoid Cut-Out in Patients Undergoing Surgical Treatment of Transtrochanteric Fractures
Authors: Leandro Gregorut Lima, Marco Aurélio Silvério Neves, Gustavo Rocha Santos, Dimas Vicente Terra Santos, Bruno da Silva Ivo, Alício Vargas Lucindo, Antonio Alvaro M. Pedrosa Filho, Erick Augusto Depauli, Leonardo Felicissimo de Almeida Leite, Barbara Fialho Carvalho Sampaio.
Abstract
The transtrochanteric fracture of the femur is a public health problem that tends to increase with the aging of the population. One of the worst and most frequent complications of conventional treatment with fixation with a cephalomedullary nail is the cut-out effect.
Objective: To compare the incidence of the cut-out effect of transtrochanteric femoral fracture fixation with a cephalomedullary nail with or without cement augmentation.
Methods: prospective randomized study. Two groups were divided with 11 patients each with transtrochanteric fractures of the proximal femur Tronzo 3,4 or 5. Group A underwent fixation with a conventional cephalomedullary nail and Group B underwent fixation with a cephalomedullary nail with cement augmentation. Both groups were evaluated by the HOOS Score at 1, 3, 6 and 12 months postoperatively.
Result: There were no cut-out complication in the operated cases. Patients in Group B had a better evolution in the HOOS Score with a statistical difference of p<0.001.
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