Characteristics of the 4 included trials comparing greater trochanter with piriformis entry in intramedullary nailing of the femoral shaft
Study | Study design | Functional measurement | Treatment groups | No. femurs | Nailing technique | Mean age, yr | % male | BMI | ISS | % follow-up | Mean follow-up (range), mo |
---|---|---|---|---|---|---|---|---|---|---|---|
Stannard at al. (9) | Level I randomized | WOMAC | Trochanteric | 59 | |||||||
Piriformis | 55 | ||||||||||
Archdeacon et al. (24) | Level I randomized | Trochanteric | 47 | ||||||||
Piriformis* | |||||||||||
Ricci et al. (8) | Level II prospective cohort | Lower extremity measure | Greater trochanter (Trigen TAN, Smith-Nephew) | 38 | Fracture table | 28 (16–88) | 66 | 24 (10–80) | 84 | 10 (7–25) | |
Piriformis (Trigen FAN, Smith-Nephew) | 53 | Fracture table | 29 (16–79) | 55 | 24 (18–45) | ||||||
Starr et al. (4) | Level II quasirandomized | Harris hip score | Trochanteric (Long Gamma Nail version 2, Howmedica) | 17 | Fracture table | 37 (19–50) | 29 (20–55) | 15 (9–48) | 76 | 16 (12–29) | |
Piriformis (Russel-Taylor Recon Nail, Smith-Nephew) | 17 | Fracture table | 32 (19–45) | 26 (19–56) | 15 (9–29) | 88 | 15 (12–28) |
BMI = body mass index; FAN = femoral antegrade nail; ISS = injury severity score; TAN = trochanteric antegrade nail; WOMAC = Western Ontario and McMaster Universities Arthritis Index.
↵* Not reported.