Table 10-57Intramedullary vs. extramedullary implants for subtrochanteric extracapsular fracture - Clinical summary of findings

OutcomeIntramedullaryExtramedullaryRelative riskAbsolute effectQuality
Mortality – 1 year7/48 (14.6%)5/42 (15%)RR 0.93 (0.08 to 11.52)10 fewer per 1,000 (from 138 fewer to 1578 more)Very low
Reoperation – within follow up period of study4/78 (5.1%)11/71 (12.5%)RR 0.56 (0.06 to 5.47)55 fewer per 1,000 (from 117 fewer to 559 more)Low
Cut-out (at latest follow up)1/19 (5.3%)1/13 (7.7%)RR 0.68 (0.05 to 9.98)25 fewer per 1,000 (from 73 fewer to 691 more)Low
Infection (deep infection or requires reoperation)3/45 (6.7%)2/41 (5.9%)RR 1.27 (0.28 to 5.88)16 more per 1,000 (from 42 fewer to 288 more)Low
Non-union (at latest follow up)1/48 (2.1%)9/42 (17.6%)RR 0.15 (0.03 to 0.82)150 fewer per 1,000 (from 32 fewer to 171 fewer)Moderate

From: 10, Surgical procedures

Cover of The Management of Hip Fracture in Adults
The Management of Hip Fracture in Adults [Internet].
NICE Clinical Guidelines, No. 124.
National Clinical Guideline Centre (UK).
Copyright © 2011, National Clinical Guideline Centre.

Apart from any fair dealing for the purposes of research or private study, criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, no part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

The rights of the National Clinical Guideline Centre to be identified as Author of this work have been asserted by them in accordance with the Copyright, Designs and Patents Act, 1988.

PubMed Health. A service of the National Library of Medicine, National Institutes of Health.