Summary
Between April 1979 and August 1983, 201 patients with intertrochanteric fractures of the hip were admitted to Haife Medical Center (Rothschild), Israel. These patients were randomely divided into two groups: 104 patients underwent fixation with a compression screw and plate (Richard's Co.) and 97 patients underwent fixation with Ender's nails. The results of both groups were analyzed and evaluated clinically, economically, and socially. There were differences in operative time, incidence of infection, local complications, and functional capacity, but, on the other hand, no difference in the length of hospital stay. The perioperative mortality was significantly higher in the group that underwent fixation with Ender nails (seven to one), but the overall mortality was the same for both groups. The advantages of the Ender method are a quicker surgical procedure, diminished blood loss, and practically no risk of deep infection. The fixation with compression screw and plate assures a better anatomical reduction of the hip with fewer local complications and a better functional result, but carries a higher risk of infection.
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References
Aprin H, Kilfoyle RM (1980) Treatment of trochanteric fractures with Ender rods. J Trauma 201:32–42
Chapman MW, Bowman WE (1981) The use of Ender's pins in extracapsular fractures of the hip. J Bone Joint Surg [Am] 63:14–28
Cobelli NJ, Sadler HA (1985) Ender rod versus compression screw fixation of hip fractures. Clin Orthop 201:123–129
Ender HG (1978) Treatment of per- and subtrochanteric fractures with Ender's pins. The hip: Proc of the sixth open meeting of the hip society. Mosby, St. Louis, pp 187–206
Evans EM (1949) The treatment of trochanteric fractures of the femur. J Bone Joint Surg [Br] 31:190–203
Evans EM (1951) Trochanteric fractures. J Bone Joint Surg [Br] 33:192–204
Hall G, Ainscow DAP (1981) Comparison of nail-plate fixation and Ender's nailing for intertrochanteric fractures. J Bone Joint Surg [Br] 63:24–28
Iwegbu CG, Patel RJ (1981) Difficulties and complications of the Ender method of treatment of trochanteric fractures of the femur. Injury 13:116–124
Jensen JS, Michaelson M (1975) Trochanteric femoral fractures treated with McLaughlin osteosynthesis. Acta Orthop Scand 46:795–803
Jensen JS, Tondevold E (1980) A prognostic evaluation of the hospital resources required for the treatment of hip fractures. Acta Orthop Scand 51:515–522
Jensen JS (1980) Classification of trochanteric fractures. Acta Orthop Scand 51:803–810
Jensen JS (1980) Incidence of hip fractures. Acta Orthop Scand 51:511–513
Jensen JS, Sonne-Holm S (1980) Critical analysis of Ender nailing in the treatment of trochanteric fractures. Acta Orthop Scand 51:317–325
Kuderna H, Bohler N, Collon DJ (1978) Treatment of intertrochanteric and subtrochanteric fractures of the hip by the Ender method. J Bone Joint Surg [Am] 58:604–611
Levy RN, Siegel A, Sedlin ED, Siffert RS (1983) Complications of Ender pin fixation in basicervical, intertrochanteric and subtrochanteric fractures of the hip. J Bone Joint Surg [Am] 65:66–69
Passoff TL, Schein AJ (1980) Ender's flexible intramedullary pins for the treatment of pertrochanteric hip fractures: preliminary report of the first 100 cases. J Trauma 20:876–879
Roffman M, Solomon L (1982) Ender nail fixation for intertrochanteric fractures. S Afr Med J 62:691
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Juhn, A., Krimerman, J. & Mendes, D.G. Intertrochanteric fracture of the hip comparison of Nail-plate fixation and Ender's nailing. Arch. Orth. Traum. Surg. 107, 136–139 (1988). https://doi.org/10.1007/BF00451592
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DOI: https://doi.org/10.1007/BF00451592