.webp&w=384&q=75){kind=logo}
Loading, please wait...
Loading, please wait...
The choice between an intramedullary nail and sliding hip screw in proximal femoral fractures has often been driven by surgeon preference and fracture pattern. This prospective randomized multicentre study enrolled 684 patients with intertrochanteric or subtrochanteric fractures and compared the TRIGEN INTERTAN nail with a sliding hip screw. The study assessed pain, mobility, complications and functional recovery over one year. The results did not establish a universal clinical superiority of the nail across all outcomes. Differences in postoperative recovery and implant-related complications were relatively nuanced, reinforcing that fixation should be tailored to the individual fracture rather than based solely on the perceived modernity of the device. For clinicians, the evidence is particularly useful because the sample size was large and the study included a broad elderly fracture population. The practical priorities remain reduction quality, stable fixation, controlled loading and minimising complications. In straightforward stable intertrochanteric fractures, a sliding hip screw remains a defensible option; in more unstable configurations, an intramedullary nail may offer advantages. The implant should follow the biomechanics of the fracture, not the other way around.
Read summarized clinical updates, watch expert medical content, and earn CME certifications right from your smartphone.
Open your smartphone camera to scan and install.
The choice between an intramedullary nail and sliding hip screw in proximal femoral fractures has often been driven by surgeon preference and fracture pattern. This prospective randomized multicentre study enrolled 684 patients with intertrochanteric or subtrochanteric fractures and compared the TRIGEN INTERTAN nail with a sliding hip screw. The study assessed pain, mobility, complications and functional recovery over one year. The results did not establish a universal clinical superiority of the nail across all outcomes. Differences in postoperative recovery and implant-related complications were relatively nuanced, reinforcing that fixation should be tailored to the individual fracture rather than based solely on the perceived modernity of the device. For clinicians, the evidence is particularly useful because the sample size was large and the study included a broad elderly fracture population. The practical priorities remain reduction quality, stable fixation, controlled loading and minimising complications. In straightforward stable intertrochanteric fractures, a sliding hip screw remains a defensible option; in more unstable configurations, an intramedullary nail may offer advantages. The implant should follow the biomechanics of the fracture, not the other way around.
last month
Preclinical findings demonstrate that ginsenoside Ra1 preserves vascular integrity and attenuates multi-organ injury during sepsis by targeting non-muscle myosin heavy chain IIA (NMMHC IIA) and dampening TLR4/NF-κB/NLRP3 inflammatory signaling.
2 days back
An all-printed immunosensing microchip detects urinary sFlt-1 in just 10 minutes with 3.61 pg/mL sensitivity. By leveraging photonic bandgap engineering, this low-cost, cleanroom-free platform provides non-invasive preeclampsia screening, offering substantial benefits for point-of-care obstetric triage.
2 days back
Wearable ultrasound patches are transforming healthcare by shifting medicine from episodic evaluations to continuous monitoring. Discover how flexible acoustic transducers advance cardiovascular tracking, musculoskeletal imaging, neuromodulation, and on-demand closed-loop theranostics.
2 days back
A breakthrough study leverages natural language processing to accurately identify incident medication-related osteonecrosis of the jaw and track antiresorptive drug holidays from clinical narratives in electronic health records, advancing osteoporosis pharmacovigilance and dental safety.
Last week
Recent research defines ferro-aging as a conserved iron-lipid axis driving organ decline across primates. Age-related iron dyshomeostasis stimulates ACSL4-mediated lipid peroxidation, promoting cellular senescence. Notably, vitamin C directly inhibits ACSL4, suppressing phospholipid oxidation and multi-organ decay.
Last week
