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Osteotomy, compression and other modifications of surgical techniques for internal fixation of extracapsular hip fractures

  1. Martyn J Parker1,*,
  2. Helen HG Handoll2

Editorial Group: Cochrane Bone, Joint and Muscle Trauma Group

Published Online: 15 APR 2009

Assessed as up-to-date: 29 MAR 2008

DOI: 10.1002/14651858.CD000522.pub2


How to Cite

Parker MJ, Handoll HHG. Osteotomy, compression and other modifications of surgical techniques for internal fixation of extracapsular hip fractures. Cochrane Database of Systematic Reviews 2009, Issue 2. Art. No.: CD000522. DOI: 10.1002/14651858.CD000522.pub2.

Author Information

  1. 1

    Peterborough and Stamford Hospitals NHS Foundation Trust, Orthopaedic Department, Peterborough, Cambridgeshire, UK

  2. 2

    University of Teesside, Centre for Rehabilitation Sciences (CRS), Research Institute for Health Sciences and Social Care, Middlesborough, Tees Valley, UK

*Martyn J Parker, Orthopaedic Department, Peterborough and Stamford Hospitals NHS Foundation Trust, Peterborough District Hospital, Thorpe Road, Peterborough, Cambridgeshire, PE3 6DA, UK. martyn.parker@pbh-tr.nhs.uk.

Publication History

  1. Publication Status: New search for studies and content updated (no change to conclusions)
  2. Published Online: 15 APR 2009

SEARCH

[Analysis 1.1]
Analysis 1.1. Comparison 1 Osteotomy versus anatomical reduction: fixed nail plate, Outcome 1 Fracture fixation complications.
[Analysis 1.2]
Analysis 1.2. Comparison 1 Osteotomy versus anatomical reduction: fixed nail plate, Outcome 2 Final outcome measures (at 3 months).
[Analysis 2.1]
Analysis 2.1. Comparison 2 Osteotomy versus anatomical reduction: sliding hip screw, Outcome 1 Operative details: length of surgery and blood loss.
[Analysis 2.2]
Analysis 2.2. Comparison 2 Osteotomy versus anatomical reduction: sliding hip screw, Outcome 2 Fracture fixation complications.
[Analysis 2.3]
Analysis 2.3. Comparison 2 Osteotomy versus anatomical reduction: sliding hip screw, Outcome 3 Deep sepsis.
[Analysis 2.4]
Analysis 2.4. Comparison 2 Osteotomy versus anatomical reduction: sliding hip screw, Outcome 4 Medical complications.
[Analysis 2.5]
Analysis 2.5. Comparison 2 Osteotomy versus anatomical reduction: sliding hip screw, Outcome 5 Length of hospital stay (days).
[Analysis 2.6]
Analysis 2.6. Comparison 2 Osteotomy versus anatomical reduction: sliding hip screw, Outcome 6 Anatomical deformity.
[Analysis 2.7]
Analysis 2.7. Comparison 2 Osteotomy versus anatomical reduction: sliding hip screw, Outcome 7 Final outcome measures.
[Analysis 3.1]
Analysis 3.1. Comparison 3 SHS fixation with cement versus standard SHS (no cement), Outcome 1 Fracture fixation complications.
[Analysis 3.2]
Analysis 3.2. Comparison 3 SHS fixation with cement versus standard SHS (no cement), Outcome 2 Wound infection.
[Analysis 3.3]
Analysis 3.3. Comparison 3 SHS fixation with cement versus standard SHS (no cement), Outcome 3 Length of hospital stay.
[Analysis 3.4]
Analysis 3.4. Comparison 3 SHS fixation with cement versus standard SHS (no cement), Outcome 4 Mortality.
[Analysis 3.5]
Analysis 3.5. Comparison 3 SHS fixation with cement versus standard SHS (no cement), Outcome 5 Pain at 6 months (visual analogue scale: 0 none to 100 worst).
[Analysis 3.6]
Analysis 3.6. Comparison 3 SHS fixation with cement versus standard SHS (no cement), Outcome 6 Hip abductor strength (% of unaffected side).
[Analysis 4.1]
Analysis 4.1. Comparison 4 Compression of trochanteric fractures in sliding hip screw fixation, Outcome 1 Operative details: length of surgery and blood loss.
[Analysis 4.2]
Analysis 4.2. Comparison 4 Compression of trochanteric fractures in sliding hip screw fixation, Outcome 2 Non-union.
[Analysis 4.3]
Analysis 4.3. Comparison 4 Compression of trochanteric fractures in sliding hip screw fixation, Outcome 3 Varus deformity.
[Analysis 5.1]
Analysis 5.1. Comparison 5 Hydroxyapatite-coated screws versus standard screws: SHS, Outcome 1 Fracture fixation complications.
[Analysis 5.2]
Analysis 5.2. Comparison 5 Hydroxyapatite-coated screws versus standard screws: SHS, Outcome 2 Mortality.
[Analysis 5.3]
Analysis 5.3. Comparison 5 Hydroxyapatite-coated screws versus standard screws: SHS, Outcome 3 Functional and activity of daily living scores.