INTRODUCTION: The @entity5806 ( @entity5806 ) and the expandable proximal femoral nail (EPFN) are two commonly used intramedullary devices for the treatment of AO 31A1-3 proximal femur @entity174 . The aim of this study was to compare outcomes and complication rates in @entity1 treated by both devices. @entity1 AND METHODS: A total of 299 @entity1 (149 in the @entity5806 group and 150 in the EPFN group, average age 83.6 years) were treated for AO 31A1-3 proximal femur @entity174 in our institution between July 2008 and February 2013. Time from presentation to surgery, level of experience of the surgeon, operative time, amount of @entity190 and number of blood transfusions were recorded. Postoperative radiological variables, including peg/screw location, tip to apex distance and orthopaedic complications, as, malunion, nonunion, surgical wound @entity281 rates, cutouts, @entity3564 and the incidence of @entity532 . Functional results were estimated using the modified Harris Hip Score, and quality of life was queried by the SF-36 questionnaire. RESULTS: The @entity5806 and the EPFN fixation methods were similar in terms of functional outcomes, complication rates and quality of life assessments. More @entity1 (107 vs. 73) from the @entity5806 group were operated within 48h from presentation (44.8h vs. 49.9h for the EPFN group, p=0.351), and their surgery duration and hospitalisation were significantly longer (18.5 days vs. 26 days, respectively, p<0.001). The @entity5806 @entity1 were frequently operated by junior surgeons: 90% (135) while 50.6% (76) of the EPFN operations were performed by senior doctors. Other intraoperative measures were similar between groups. Cutout was the most common complication affecting 6.7% of the @entity5806 group and 3.3% of the EPFN group (p=0.182). CONCLUSIONS: Good clinical outcomes and low complication rates in the @entity5806 and the EPFN groups indicate essentially equivalent safety and reliability on the part of both devices for the treatment of proximal @entity3330 .

Expandable proximal femoral nail versus gamma proximal femoral nail for the treatment of AO/OTA 31A1-3 XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity174 :: ('MESH:D050723', 'Disease') :: ['fractures'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity5806 :: ('MESH:D009260', 'Disease') :: ['GPFN', 'gamma-proximal femoral nail'] @entity532 :: ('MESH:D003925', 'Disease') :: ['non-orthopaedic complications'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity3330 :: ('MESH:D005264', 'Disease') :: ['femoral fractures'] @entity3564 :: ('MESH:D057068', 'Disease') :: ['periprosthetic fractures']
@entity174 :: (MESH:D050723,Disease) :: ['fractures']
