Locking retrograde nail, non-locking retrograde nail and plate fixation in the treatment of distal third femoral shaft fractures: radiographic, bone densitometry and clinical outcomes.
Luigi MeccarielloMichele BisacciaMario RongaGabriele FalzaranoAuro CaraffaGiuseppe RinonapoliPredrag GruborValerio PaceGiuseppe RolloPublished in: Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology (2021)
Our results showed no statistical difference in the use of LNR, NLNR and plating for treatment of distal third femur shaft fractures in terms of radiographic, bone densitometry and clinical outcomes. Good subjective and objective results are provided by all three techniques. The choice among the studied techniques must be based on surgeons' experience, indications and subjective patients' aspects. The absence of relevant similar data in the published literature does not allow definitive validation (or rejection) of our hypothesis. A more powered study with a bigger cohort is needed for definitive validation.
Keyphrases
- bone mineral density
- minimally invasive
- systematic review
- newly diagnosed
- prognostic factors
- postmenopausal women
- electronic health record
- body composition
- machine learning
- sleep quality
- soft tissue
- quality improvement
- big data
- patient reported outcomes
- artificial intelligence
- replacement therapy
- thoracic surgery
- meta analyses