perioperative total blood loss (TBL) of unstable intertrochanteric fractures in the elderly treated with different reaming methods for cephalomedullary nailing Unstable intertrochanteric fracture, cephalomedullary nail, one-step reaming, conventional reaming, Perioperative total blood loss
Conditions
Interventions
femoral proximal reaming for insert cephalomedullary nail (without shaft reaming),femoral proximal and shaft reaming for insert cephalomedullary nail
Experimental Procedure/Surgery,Experimental Procedure/Surgery
One-step reaming methods,Conventional reaming
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
60 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age > 60 years 2. Sex: both male and female 3.Intertrochanteric fracture (AO/OTA classification type 31-A2, 31-A3) 4.Fracture less than 6 weeks from date of injury 5.Medullary canal size > 10 mm
Exclusion criteria
Exclusion criteria: 1. Pathological fractures/tumours 2.Neurovascular injuries 3.Multiple fracture 4.Coagulopathy 5.Antiplatelet agents taken (such as Warfarin , Clopidogrel ) less than one month before surgery 6.AO/OTA classification type 31- A3 that need to do open reduction with internal fixation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total blood loss 3 days in operative room + calculation | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood transfusion rate and operative time 3 days Data from records | — |
Countries
Thailand
Contacts
Public ContactNuntich Singsumpun
Outcome results
None listed