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Treating Peri-trochanteric Hip Fractures with Intramedullary Nail, When a Second Anti-rotational Screw Is Necessary? by Panagiotis Tilaveridis; Efthymios Iliopoulos; Paraskevas Georgoulas; Georgios Drosos; Athanasios Ververidis; Konstantinos Tilkeridis is a Medicine article available to read on EtoBox.

What is Treating Peri-trochanteric Hip Fractures with Intramedullary Nail, When a Second Anti-rotational Screw Is Necessary? about?

## Introduction Fragility fractures around the proximal end of the femur have increased in recent years due to an aging population, adding to the pressure on national health care systems and to hospital expenses. Peri-trochanteric fractures have historically been treated successfully with anatomic intramedullary nails, giving stable fixation in order to allow early for mobilisation of these frail patients. Some of these nails allow a second (anti-rotational) screw through the nail into the femoral head. We assessed the use of this additional screw in terms of quality of reduction, post-operative mobilization and complications. ## Materials & methods All patients who were treated in the same hospital for peri-trochanteric fracture between January 2017 and December 2019 were included in the study. The patients were randomly assigned into group A, where the treatment included intramedullary nailing using one femoral hip screw, and group B, where the treatment additionally included a second anti-rotational screw. The patients were followed up clinically and radiologically, for at least 3 months post-operatively. Demographic and operative data were collected alongside radiographic and c

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Author

Panagiotis Tilaveridis; Efthymios Iliopoulos; Paraskevas Georgoulas; Georgios Drosos; Athanasios Ververidis; Konstantinos Tilkeridis

Publisher

Springer Science and Business Media LLC

Published

2023

Field

Medicine (Health Sciences)