Subtrochanteric Fractures: Open Versus Closed Reduction

Abstract

33 consecutive patients with a displaced subtrochanteric fracture treated with an intramedullary nail were reviewed. 18 underwent open, 15 underwent closed reduction. Time of operation and measured blood loss were reviewed. Type of fracture, postoperative quality of the reduction and long-term results were evaluated radiographically. No statistically significant difference between open and closed reduction in postoperative results, long-term results and measured blood loss was found. In all, the time of operation appeared longer in the group of open reduction. But there was no statistically significant difference of operation time by comparing the fracture types separately. Our hypothesis that open reduction provides better alignment and better results than closed manipulation and nailing was not shown.

Internal fixation - hip fracture - postoperative results - long-term results - blood loss - time of operation

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