2025年3月14日 · should be treated with cephalomedullary nail (CMN) rather than sliding hip screw (SHS) key role in stabilizing proximal femur by providing lateral buttress . AO/OTA Classification. 31A -A1. peritrochanteric simple two part. intact lateral cortex. 31A-A2. pertrochanteric with separate posteromedial fragment.

Cephalomedullary nailing (CMN) system for the treatment of intertrochanteric fractures as well as a wide range of proximal femur fractures and associated femoral shaft fractures. Gamma4 is a comprehensive femoral intramedullary nailing (IMN) system

Outcome measure reporting. Intraoperative variables and hospital length of stay were recorded (Table 2).Two studies reported estimated blood loss, transfusion rates, and length of stay [13, 14].The average blood loss was 86.7 and 135.2 mL for short and long CMN, respectively (P = 0.0003).The blood transfusion rate was 41 % for short and 50 % for long CMN (P = 0.07).

Read the fracture line on the image intensifier views. Identify gaps or increased density due to overlapping of fragments. Follow the medial cortical line on AP view and the anterior cortical line on the axial view.

Cephalomedullary nailing (CMN) is the most common method for treating displaced intertrochanteric femur fractures. 3,7-9 The choice of nail length has remained a controversial topic with multiple studies comparing short versus long cephalomedullary nails. 3,10,11,12,13,14,15,16 Advantages proposed in favor of short CMNs include ease of use, ...

Comprehensive guide on surgical techniques and management of proximal femur fractures, including fixation methods and hip replacement indications.

The average age was 82.0 years for short CMN and 79.0 years for long CMN (P = 0.0002). The average follow up was 18 months, 46 % were male, and 71 % had an ASA (American Society of Anesthesiologists score) classification ≥3. The rate of reoperation was 5.0 % and 3.8 % for short and long CMN, respectively (P = 0.31).

2021年1月23日 · Objectives The purpose of the study was to compare treatment outcomes after short or long cephalomedullary nailing for intertrochanteric femur fractures. Data sources A systematic review of perioperative outcomes after short or long cephalomedullary nailing for intertrochanteric femur fractures was performed. The following databases were used: using the Cochrane Database of Systematic Reviews ...

2022年1月26日 · Intervention: Short CMN. Main outcome measurements: Nail toggle and varus collapse were measured on intraoperative and final follow-up radiographs. Risk factors for nail toggle including demographics, fracture classification, quality of reduction, Dorr type, nail/canal diameter ratio, lag screw engaging the lateral cortex, and tip-apex distance ...

• Younger patient (<65yo) o Ketorolac 30mg iv q6 hours x 3, postop o Norco (7.5 or 10) 1-2 tabs po q4 hours prn pain o Morphine 4mg iv q 2 hours prn breakthrough pain