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. 2021 Feb 12:2021:8854292.
doi: 10.1155/2021/8854292. eCollection 2021.

The Role of Preoperative Computed Tomography on the Quality of Reduction and Outcomes in Intertrochanteric Fracture: A Controlled Trial

Tao Ma  1 , Lin-Jie Hao  1 , Peng-Fei Wen  1 , Ya-Kang Wang  1 , Hu Wang  2 , Bin-Fei Zhang  1 , Yu-Min Zhang  1
Affiliations

The Role of Preoperative Computed Tomography on the Quality of Reduction and Outcomes in Intertrochanteric Fracture: A Controlled Trial

Tao Ma et al. Biomed Res Int. .

Abstract

Purpose: The study is aimed at assessing the role of preoperative computerised tomography (CT) examination in the quality of reduction and outcomes in elderly patients with intertrochanteric fracture.

Methods: The elderly patients with an intertrochanteric fracture who were treated with proximal femoral nail antirotation were included. The patients were divided into the CT group and the no-CT group according to the presence of preoperative CT examination. Patients' baseline characteristics, quality of reduction, and function were recorded at follow-up. Functional outcomes were evaluated using the Harris hip scores (HHS).

Results: Totally, the study included 182 patients with intertrochanteric fractures, with 85 in the CT group and 97 in the no-CT group, admitted between January 2018 and June 2019. There was no difference in the quality of reduction, HHS, the fracture healing, or postoperative complications between the CT group and the no-CT group. However, the CT group experienced the shorter mean operative time and blood transfusion, compared to the no-CT group.

Conclusions: The preoperative CT examination seems to be excessive for elderly patients with an intertrochanteric fracture.

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Conflict of interest statement

The authors declare that they have no competing interests.

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