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ACE Report #3457
Ace Report Cover Trauma

Femoral fractures: intramedullary nails result in more fixation failures and re-operations

Study Type:Meta analysis
OE Level Evidence:2
Journal Level of Evidence:N/A

Are short femoral nails superior to the sliding hip screw? A meta-analysis of 24 studies involving 3,279 fractures

Int Orthop. 2006 Apr;30(2):69-78. Epub 2006 Feb 22

Contributing Authors: HW Jones P Johnston M Parker

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This meta-analysis identified 24 randomized trials that compared the use of intramedullary nails (IMN) to the sliding hip screw (SHS) in the treatment of stable and unstable extracapsular proximal femoral fractures. A total of 3,202 patients (3,279 fractures) were identified from the included studies. Results from this analysis indicated that intramedullary nails lead to increased fixation failure...

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