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Quality of life, walking ability and change of living situation after trochanteric femur fracture in geriatric patients–Comparison between sliding hip screw and cephalomedullary nails from the registry for geriatric trauma

Injury May 27, 2021

Marks L, Pass B, Knobe M, et al. - This study was intended to evaluate the quality of life, walking ability, and change of living situation after trochanteric femur fracture in geriatric patients–comparison between the sliding hip screw and cephalomedullary nails from the registry for geriatric trauma. Researchers conducted a retrospective study analyzing a total of 24,919 patients from 100 hospitals, treated between 2016 and 2019 and documented in the Registry for Geriatric Trauma. They examined the effect of cephalomedullary nails (CMN) vs. sliding hip screws (SHS) on the walking ability, quality of life (QoL), living situation, mortality, and revision rate. The study enrolled a sum of 10,995 patients, of which 10,436 patients were treated with CMN and 369 patients with SHS. For geriatric patients with trochanteric femur fractures, there might be a benefit to be treated with a proximal femur nail in regard to a higher QoL and a decreased institutionalization rate. The chosen implant did not affect mortality or revision rate.

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