AI Article Synopsis
- The study compares internal fixation using the Targon FN implant with joint replacement for treating hip fractures, highlighting ongoing debates in treatment methods.
- The research involved a large series of 135 cases since 2006, focusing on various complications and patient demographics.
- The findings indicate a 16.4% surgical complication rate with higher risks in displaced fractures, suggesting that improved techniques may reduce issues like implant perforation.
Article Abstract
Purpose: Internal fixation versus joint replacement for treating intracapsular hip fractures is still a major debate. The Targon FN fixation concept is innovative; two small case series are promising. We present the first larger series.
Methods: We conducted prospective documentation of all Targon FN cases since 2006. The implant was used for all undisplaced fractures, and for displaced fractures in patients of a biological age ≤60 years. Besides demographic data and fracture classification, we analysed infection, haematoma, implant perforation, nonunion and operative revision procedures.
Results: In 135 cases (mean age 71 years; average operation time 60 minutes; average hospital stay ten days), we found a surgical complication rate of 16.4%. Conversion to joint replacement was necessary in 9.6%. Complication rate was significantly higher in displaced fractures.
Conclusions: Our study confirms low general complication rates. However, implant perforation seems to be underestimated. Optimised reduction technique may help to reduce this complication.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3936070 | PMC |
| http://dx.doi.org/10.1007/s00264-013-2176-y | DOI Listing |
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