Osteoporotic Hip Fractures: The Burden of Fixation Failure

Table 3

Incidence of fixation failure and reoperation in peritrochanteric fractures of the femur. All patients >60 years.

Study	Year	Fixation method	Mean age	Followup (months)	𝑛	Fixation failure; 𝑛 (%)	Revision surgery; 𝑛 (%)
de Grave* et al. [47]	2012	GN, ACE TN	74.9	12	112	4 (3.6)	4 (3.6)
Stern* et al. [48]	2011	SHS, GN, PFNA, and DHS Blade	86.4	12	269	11 (4.1)	13 (4.8)
Garg^𝜃 et al. [49]	2011	SHS, PFNA	62.3	40	81	6 (7.4)	7 (7.4)
Varela-Egocheaga^¥et al. [6]	2009	PCP, GN	82	12	80	3 (3.8)	Nr
Pajarinen* et al. [50]	2005	SHS, PFN	81	4	108	4 (3.7)	4 (3.7)
Utrilla* et al. [51]	2005	SHS, TGN	80	12	163	10 (6.2)	5 (3.1)
Papasimos^𝜃 et al. [52]	2005	SHS, PFN, and TGN	81.2	12	120	12 (10)	11 (9.2)
Miedel^𝜃 et al. [53]	2005	GN, MSP	84	12	217	13 (6)	12 (5.5)
Saudan* et al. [54]	2002	SHS, PFN	83	12	168	4 (2.4)	8 (4.8)
Harrington^𝜃 et al. [55]	2002	SHS, IMHS	83	12	102	6 (5.9)	Nr
Sadowski^𝜃 et al. [7]	2002	95° DCS, PFN	79	12	35	8 (22.9)	8 (22.9)
Hoffman* and Lynskey [56]	1996	SHS, IMHS	82	3.7	110	4 (3.6)	2 (1.8)
Park* et al. [57]	1998	SHS, GN	73	18.5	60	3 (5)	1 (1.7)
Hardy* et al. [58]	1998	SHS, IMHS	81	12	100	5 (5)	7 (7)
Kukla* et al. [59]	1997	SHS, GN	83	6	89	0 (0)	2 (2.3)
Radford* et al. [60]	1993	SHS, GN	80	12	200	18 (9)	9 (4.5)
Leung* et al. [61]	1992	SHS, GN	80	7	186	13 (7)	6 (3.2)
Total/average					2200	97 (5)	99 (4.9)

Nr: not recorded; GN: Gamma Nail; TN: Trochanteric Nail; SHS: sliding hip screw; PFNA: Proximal Femoral Nail Antirotation; DHS Blade: Dynamic Hip System Blade; PCCP: Percutaneous Compression Plate; PFN: Proximal Femoral Nail; TGN: Trochanteric Gamma Nail; MSP: Medoff Sliding Plate; IMHS: Intramedullary Hip Screw; DCS: Dynamic Condylar Screw.
¥stable fractures only; *Stable and unstable fracture patterns; 𝜃unstable fractures only.