$Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review$
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Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review

Background and purpose — The trochanteric stabilizing plate (TSP) may be used as an adjunct to a sliding hip screw (SHS) in the treatment of trochanteric fractures to increase construct stability. We performed a scoping review of the literature to clarify when and how the TSP may be useful. Methods...

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Autores principales:	Carl Erik Alm, Jan-Erik Gjertsen, Trude Basso, Kjell Matre, Stephan Rörhl, Jan Erik Madsen, Frede Frihagen
Formato:	article
Lenguaje:	EN
Publicado:	Taylor & Francis Group 2021
Materias:	Orthopedic surgery RD701-811
Acceso en línea:	https://doaj.org/article/90a590c4df184868ab3bf47c1a3fe28a
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spelling	oai:doaj.org-article:90a590c4df184868ab3bf47c1a3fe28a2021-11-26T11:19:48ZTrochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review1745-36741745-368210.1080/17453674.2021.1954305https://doaj.org/article/90a590c4df184868ab3bf47c1a3fe28a2021-10-01T00:00:00Zhttp://dx.doi.org/10.1080/17453674.2021.1954305https://doaj.org/toc/1745-3674https://doaj.org/toc/1745-3682Background and purpose — The trochanteric stabilizing plate (TSP) may be used as an adjunct to a sliding hip screw (SHS) in the treatment of trochanteric fractures to increase construct stability. We performed a scoping review of the literature to clarify when and how the TSP may be useful. Methods — A systematic search was performed in 5 databases and followed by a backwards-and-forwards citation search of the identified papers. 24 studies were included. Results — 6 biomechanical studies and 18 clinical studies were included in the review. The studies presented mainly low-level evidence. All studies were on unstable trochanteric fractures or fracture models. Due to the heterogeneity of methods and reporting, we were not able to perform a meta-analysis. In the biomechanical trials, the TSP appeared to increase stability compared with SHS alone, up to a level comparable with intramedullary nails (IMNs). We identified 1,091 clinical cases in the literature where a TSP had been used. There were 82 (8%) reoperations. The rate of complications and reoperations for SHS plus TSP was similar to previous reports on SHS alone and IMN. It was not possible to conclude whether the TSP gave better clinical results, when compared with either SHS alone or with IMN. Interpretation — The heterogeneity of methods and reporting precluded any clear recommendations on when to use the TSP, or if it should be used at all.Carl Erik AlmJan-Erik GjertsenTrude BassoKjell MatreStephan RörhlJan Erik MadsenFrede FrihagenTaylor & Francis GrouparticleOrthopedic surgeryRD701-811ENActa Orthopaedica, Vol 92, Iss 6, Pp 733-738 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Orthopedic surgery RD701-811
spellingShingle	Orthopedic surgery RD701-811 Carl Erik Alm Jan-Erik Gjertsen Trude Basso Kjell Matre Stephan Rörhl Jan Erik Madsen Frede Frihagen Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
description	Background and purpose — The trochanteric stabilizing plate (TSP) may be used as an adjunct to a sliding hip screw (SHS) in the treatment of trochanteric fractures to increase construct stability. We performed a scoping review of the literature to clarify when and how the TSP may be useful. Methods — A systematic search was performed in 5 databases and followed by a backwards-and-forwards citation search of the identified papers. 24 studies were included. Results — 6 biomechanical studies and 18 clinical studies were included in the review. The studies presented mainly low-level evidence. All studies were on unstable trochanteric fractures or fracture models. Due to the heterogeneity of methods and reporting, we were not able to perform a meta-analysis. In the biomechanical trials, the TSP appeared to increase stability compared with SHS alone, up to a level comparable with intramedullary nails (IMNs). We identified 1,091 clinical cases in the literature where a TSP had been used. There were 82 (8%) reoperations. The rate of complications and reoperations for SHS plus TSP was similar to previous reports on SHS alone and IMN. It was not possible to conclude whether the TSP gave better clinical results, when compared with either SHS alone or with IMN. Interpretation — The heterogeneity of methods and reporting precluded any clear recommendations on when to use the TSP, or if it should be used at all.
format	article
author	Carl Erik Alm Jan-Erik Gjertsen Trude Basso Kjell Matre Stephan Rörhl Jan Erik Madsen Frede Frihagen
author_facet	Carl Erik Alm Jan-Erik Gjertsen Trude Basso Kjell Matre Stephan Rörhl Jan Erik Madsen Frede Frihagen
author_sort	Carl Erik Alm
title	Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_short	Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_full	Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_fullStr	Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_full_unstemmed	Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
title_sort	trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review
publisher	Taylor & Francis Group
publishDate	2021
url	https://doaj.org/article/90a590c4df184868ab3bf47c1a3fe28a
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Trochanteric stabilizing plate in the treatment of trochanteric fractures: a scoping review

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