$orif intertrochanteric fracture$

When the incremental failure rate of sliding hip screws was >5.0%, intramedullary nails dominated with lower cost and better health outcomes. When the incremental cost for the intramedullary nail was set at the median value ($1200), intramedullary nailing had an incremental cost-effectiveness ratio of $50,000/quality-adjusted life year when the incremental failure rate of sliding hip screws was 1.9%. The fixation failure rate and implant cost were the most important factors in determining implant choice. Sensitivity analysis was performed to test the validity of the model. Three scenarios were evaluated: (1) a clearly stable fracture (AO type 31-A1), (2) a clearly unstable fracture (A3), or (3) a fracture with questionable stability (A2). Values for critical parameters, such as fixation failure rate, were derived from the literature. An expected-value decision-analysis model was constructed to estimate the total costs and health utility based on the choice of a sliding hip screw or an intramedullary nail for fixation of an intertrochanteric hip fracture. The purpose of this study was to identify parameters to guide cost-effective implant choices with use of decision-analysis techniques to model these common clinical scenarios. Traditionally, 'stable' fracture patterns have been treated with an extramedullary sliding hip screw whereas 'unstable' patterns have been treated with the more expensive intramedullary nail. Intertrochanteric hip fractures are a major source of morbidity and financial burden, accounting for 7% of osteoporotic fractures and costing nearly $6 billion annually in the United States.

$orif intertrochanteric fracture$

Swart, Eric Makhni, Eric C Macaulay, William Rosenwasser, Melvin P Bozic, Kevin J Good to excellent results were achieved in 44 patients.This study demonstrated that external fixation of 'intertrochantric' fractures performed under local anesthesia offers significant advantage in ambulatory high-risk geriatric patients especially in a developing country.Ĭost-effectiveness analysis of fixation options for intertrochanteric hip fractures. Functional outcome was assessed using Judet's point system. Thirty-one patients developed superficial pin tract infection and 28 patients had average shortening of 15 mm due to impaction and varus angulation. Good fixation and early ambulation was achieved in most of the patients. Procedure is simple, performed under local anesthesia, requires less time for surgery and is associated with less blood loss. So only 54 patients were available for final assessment.

$orif intertrochanteric fracture$

In developing countries, due to limited availability of modern anesthesia and overcrowding of the hospitals with patients who need surgery, high-risk patients with ' intertrochanteric' fractures remain unsuita ble for open reduction and internal fixation.The aim of this study was to analyze the results of external fixation of ' intertrochanteric' fractures in high-risk geriatric patients in a developing country.The results of 62 ambulatory high-risk geriatric patients with a mean age of 70 years (range 58-90 years) with ' intertrochanteric' fractures, in whom external fixation was performed, are reported.Eight patients died during follow-up due to medical causes unrelated to the surgical procedure. Gani, Naseem Ul Kangoo, Khursheed Ahmed Bashir, Arshad Muzaffer, Rahil Bhat, Mohammad Farooq Farooq, Munir Badoo, Abdul Rashid Dar, Imtiyaz Hussian Wani, Mudassir Maqbool

$orif intertrochanteric fracture$

External fixation of ' intertrochanteric' fractures.

$orif intertrochanteric fracture$

Orif intertrochanteric fracture