Intramedullary fixation

Intramedullary fixation has been studied in 2 papers since 2020: 1 trial and 1 observational study in people. The newest paper, Nov 1, 2022: “The effect of preexisting radiographic hip osteoarthritis on the functional recovery after surgical treatment of intertrochanteric fractures in elderly patients”.

Intervention

2 papers study it2 findingsUpdated

See all 2

“However, the LEM score was significantly higher in IM group after 6 and 12 months of surgery.”
Clinical Outcomes of Intramedullary and Extramedullary Fixation in Unstable Intertrochanteric Fractures: A Randomized Clinical TrialThe archives of bone and joint surgery2020doi:10.22038/abjs.2019.34942.1919

None of its findings points the other way.

  • 1 lab in 1 country
  • Human trial1
  • Humans1

Studies in people

1 study gave intramedullary fixation to people and measured what changed.

  • up: Increases LEM score

    down: Decreases time to union

    Randomized trial93 peopleBothmean age of 62.74±16.46 and 12 months after surgery

    Unstable intertrochanteric fractures

    The archives of bone and joint surgery, Mar 1, 2020

What did studies of Intramedullary fixation find?

2

Studies of Intramedullary fixation measured 2 outcomes; the most studied are time to union (1 study) and LEM score (1).

Time to union

downin humans1

1 study
  1. Intramedullary fixation decreases time to union in humans.

    “Our results indicated that the final LEM scores as well as the time to union were better in IM fixation group.”

    Human trialunstable intertrochanteric fractures; compared with extramedullary fixation12 months43 males and 50 femalessn = 93

    Clinical Outcomes of Intramedullary and Extramedullary Fixation in Unstable Intertrochanteric Fractures: A Randomized Clinical Trial

    The archives of bone and joint surgery

LEM score

upin humans1

1 study
  1. Intramedullary fixation increases LEM score in humans.

    “However, the LEM score was significantly higher in IM group after 6 and 12 months of surgery.”

    Human trialunstable intertrochanteric fractures; compared with extramedullary fixation6 and 12 months after surgery43 males and 50 femalessn = 93

    Clinical Outcomes of Intramedullary and Extramedullary Fixation in Unstable Intertrochanteric Fractures: A Randomized Clinical Trial

    The archives of bone and joint surgery

Latest