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- W2071361420 abstract "Objectives: The purpose of this study was to compare the functional outcome of patients with ipsilateral intertrochanteric and femoral shaft fractures treated with a reconstruction nail versus a sliding hip screw and retrograde nail. Design: Retrospective cohort study. Setting: Two level 1 trauma centers. Participants: Twenty-six patients with ipsilateral intertrochanteric and femoral shaft fractures treated between 1993 and 2003 with a reconstruction nail (n = 13) or with a sliding hip screw and retrograde nail (n = 13). Intervention: Internal fixation with a reconstruction nail or a sliding hip screw and retrograde nail. Main Outcome Measurements: Functional outcome was measured using the Short Form-36 (SF-36), Short Musculoskeletal Functional Assessment (SMFA), and Lower Extremity Functional Scale (LEFS). Results: The average time to follow-up was 49.6 months. Functional outcome was significantly better in the sliding hip screw with retrograde nail group for the role emotional (P = 0.001) and mental component scores (P = 0.016) of the SF-36. This group also scored better on the LEFS, although not reaching statistical significance (P = 0.099). Conclusions: For most outcome measures, no significant differences in functional outcome scores were observed between the 2 treatment groups. The results of this study suggest the need for a randomized controlled trial with a larger sample size to more definitively compare the 2 fixation constructs." @default.
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- W2071361420 date "2008-02-01" @default.
- W2071361420 modified "2023-09-27" @default.
- W2071361420 title "Functional Outcome of Ipsilateral Intertrochanteric and Femoral Shaft Fractures" @default.
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- W2071361420 doi "https://doi.org/10.1097/bot.0b013e318162a0d2" @default.
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