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Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review

Background and purpose — The trochanteric stabilizing plate (TSP) may be used as an adjunct to a sliding hip screw (SHS) in the treatment of trochanteric fractures to increase construct stability. We performed a scoping review of the literature to clarify when and how the TSP may be useful. Methods...

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Autores principales: Alm, Carl Erik, Gjertsen, Jan-Erik, Basso, Trude, Matre, Kjell, Rörhl, Stephan, Madsen, Jan Erik, Frihagen, Frede
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8641671/
https://www.ncbi.nlm.nih.gov/pubmed/34296661
http://dx.doi.org/10.1080/17453674.2021.1954305
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author Alm, Carl Erik
Gjertsen, Jan-Erik
Basso, Trude
Matre, Kjell
Rörhl, Stephan
Madsen, Jan Erik
Frihagen, Frede
author_facet Alm, Carl Erik
Gjertsen, Jan-Erik
Basso, Trude
Matre, Kjell
Rörhl, Stephan
Madsen, Jan Erik
Frihagen, Frede
author_sort Alm, Carl Erik
collection PubMed
description Background and purpose — The trochanteric stabilizing plate (TSP) may be used as an adjunct to a sliding hip screw (SHS) in the treatment of trochanteric fractures to increase construct stability. We performed a scoping review of the literature to clarify when and how the TSP may be useful. Methods — A systematic search was performed in 5 databases and followed by a backwards-and-forwards citation search of the identified papers. 24 studies were included. Results — 6 biomechanical studies and 18 clinical studies were included in the review. The studies presented mainly low-level evidence. All studies were on unstable trochanteric fractures or fracture models. Due to the heterogeneity of methods and reporting, we were not able to perform a meta-analysis. In the biomechanical trials, the TSP appeared to increase stability compared with SHS alone, up to a level comparable with intramedullary nails (IMNs). We identified 1,091 clinical cases in the literature where a TSP had been used. There were 82 (8%) reoperations. The rate of complications and reoperations for SHS plus TSP was similar to previous reports on SHS alone and IMN. It was not possible to conclude whether the TSP gave better clinical results, when compared with either SHS alone or with IMN. Interpretation — The heterogeneity of methods and reporting precluded any clear recommendations on when to use the TSP, or if it should be used at all.
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spelling pubmed-86416712021-12-04 Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review Alm, Carl Erik Gjertsen, Jan-Erik Basso, Trude Matre, Kjell Rörhl, Stephan Madsen, Jan Erik Frihagen, Frede Acta Orthop Research Article Background and purpose — The trochanteric stabilizing plate (TSP) may be used as an adjunct to a sliding hip screw (SHS) in the treatment of trochanteric fractures to increase construct stability. We performed a scoping review of the literature to clarify when and how the TSP may be useful. Methods — A systematic search was performed in 5 databases and followed by a backwards-and-forwards citation search of the identified papers. 24 studies were included. Results — 6 biomechanical studies and 18 clinical studies were included in the review. The studies presented mainly low-level evidence. All studies were on unstable trochanteric fractures or fracture models. Due to the heterogeneity of methods and reporting, we were not able to perform a meta-analysis. In the biomechanical trials, the TSP appeared to increase stability compared with SHS alone, up to a level comparable with intramedullary nails (IMNs). We identified 1,091 clinical cases in the literature where a TSP had been used. There were 82 (8%) reoperations. The rate of complications and reoperations for SHS plus TSP was similar to previous reports on SHS alone and IMN. It was not possible to conclude whether the TSP gave better clinical results, when compared with either SHS alone or with IMN. Interpretation — The heterogeneity of methods and reporting precluded any clear recommendations on when to use the TSP, or if it should be used at all. Taylor & Francis 2021-07-23 /pmc/articles/PMC8641671/ /pubmed/34296661 http://dx.doi.org/10.1080/17453674.2021.1954305 Text en © 2021 The Author(s). Published by Taylor & Francis on behalf of the Nordic Orthopedic Federation. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Alm, Carl Erik
Gjertsen, Jan-Erik
Basso, Trude
Matre, Kjell
Rörhl, Stephan
Madsen, Jan Erik
Frihagen, Frede
Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_full Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_fullStr Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_full_unstemmed Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_short Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_sort trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8641671/
https://www.ncbi.nlm.nih.gov/pubmed/34296661
http://dx.doi.org/10.1080/17453674.2021.1954305
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