Preliminary experience with EBA ONE intramedullary nail for the treatment of pertrochanteric fractures
Keywords:
pertrochanteric fractures, Evans’s classification, intramedullary nail, EBA ONEAbstract
Background and aim of the study: The Authors report their preliminary experience with a new fixation device for treatment of pertrochanteric fractures. The EBA ONE nail, produced by Citieffe in Bologna - Italy. Materials: Between April 2019 and August 2019 in Orthopedics and Traumatology Department of Piacenza, 11 patients (all female) with stable and unstable pattern of fractures, were treated with the EBA ONE intramedullary nail. Results: Despite the limited number of cases and the assence of a complete follow-up, the initial results are very encouraging. None of the reported complications were linked to the fixation device or to the surgical technique. Conclusions: The minimal, simple and intuitive instrumentation set and the simplicity of the surgical procedure make this fixation device valuable for use in stable fractures. The possibility to distal locking the nail, either statically or dynamically, and the availability of a longer nail make this device also effective in more complex fractures.
References
[2] International Osteoporosis Foundation Osteoporosis in the Europan Community:a call for action.IOF 2001.
[3] Orthopaedic Trauma Association Committee fo Coding and Classification. Fracture and dislocation compendium. J Orthop Trauma 1996;10 (suppl. 1):31-2.
[4] Scottish Intercollegiate Guidelines Network. Prevention and Management of hip fracture in old people. A national clinical guideline.
[5] Evans EM: The treatment of trochanteric fractures of thefemur. J BoneJoint Surg Br 1949, 31:190-203.
[6] Muller ME, Nazarian S, Koch P, et al (1990) The comprehensive classfication of fractures of long bones. Ist ed. Berlin, Heidelberg, New York: Springer-Verlag
[7] Bhandari M, Devereaux PJ, Einhorn TA, Thabane L, Schemitsch EH, Koval KJ. Hip fracture evaluation with alternatives of total hip arthroplasty versus hemiarthroplasty (HEALTH): protocol for a multicentre randomised trial BMJ Open 2015;5(2):e006263.
[8] Park KS, Oh CS, Yoon TR. Comparison of minimally invasive total hip arthroplasty versus conventional hemiarthroplasty for displaced femoral neck fractures in active elderly patients. Chonnam Med J 2013;49:81–6.
[9] Daugaard CL, Jørgensen HL, Riis T, Lauritzen JB, Duus BR, van der Mark S. Is mortality after hip fracture associated with surgical delay or admission during weekends and public holidays? A retrospective study of 38,020 patients. Acta Orthop 2012;83:609–13.
[10] Nordström P, Gustafson Y, Michaëlsson K, Nordström A. Length of hospital stay after hip fracture and short term risk of death after discharge: a total cohort study in Sweden. BMJ 2015;350:h696.
[11] Holt G, Smith R, Duncan K, Hutchison JD, Gregori A. Epidemiology and outcome after hip fracture in the under 65s- Evidence from the Scottish Hip Fracture Audit. Injury 2008;39:1175–81.
[12] Navone P, Nobile M et al. Proximal femoral fractures in elderly people: time to surgery. The experience of Milan's “ASST Pini/CTO” Injury, Int J. Care Injured 2017; 48:s39-43
[13] Doppelt SH: The sliding compression screw - today’s best answer for stabilization of intertrochanteric hip fractures. OrthopClin North Am 1980, 11:507-23.
[14] Waddell JP: Sliding screw fixation for proximal femoralfractures. Orthop Clin North Am 1980, 11:607-22.
[15] Wolfgang GL, Bryant MH, O’Neill JP: Treatment of intertrochanteric fracture of the femur using sliding screw plate fixation. Clin Orthop 1982,163:148-58.
[16] Makridis KG, Georgaklis V, Georgouiss M Comparing two intramedullary devices for treating trochanteric fractures: a prosepective study. Journal of Orthopaedic Surgery and Research 2010, 5:9
[17] Kaufer H, , Sonstegard D .Stable fixation of intertrochanteric fractures.J Bone Joint Surg Am. 1974 Jul;56(5):899-907.
[18] Li X, Zhang L, Hou Z, Meng Z, Chen W, Wang P, et al. Distal Locked and unlocked nailing for perthrochanteric fractures — A prospective comparative randomized study. Int Orthop 2015;39:1645 –52.
[19] Skála-Rosenbaum J, Bartonícek J, Bartoska R. Is distal locking with IMHN necessary in every pertrochanteric fracture? Int Orthop 2010;34(7):1041 –7.
[20] Vopat BG, Kane PM, Truntzer J, McClure P, Paller D, Abbood E, et al. Is distal locking of long nails for intertrochanteric fractures necessary? A Clinical study. J Clin Orthop Trauma 2014;5:233-9
[21] Ciaffa V, Vicenti G, Mori CM, Unlocked versus dynamicand static distal locked femoral nails in stable and unstable intertrochanteric fractures. A prospective study. Injury 2018; 49 (3): 19-25
Downloads
Published
Issue
Section
License
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.