{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,31]],"date-time":"2025-10-31T13:54:30Z","timestamp":1761918870861},"reference-count":15,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"10","license":[{"start":{"date-parts":[[2006,10,1]],"date-time":"2006-10-01T00:00:00Z","timestamp":1159660800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2006,10]]},"abstract":"<jats:p> We conducted a randomised controlled trial to compare external fixation of trochanteric fractures of the femur with the more costly option of the sliding hip screw. Patients in both groups were matched for age (mean 67 years, 50 to 100) and gender. We excluded all pathological fractures, patients presenting at more than one week, fractures with subtrochanteric extension or reverse obliquity, multiple fractures or any bone and joint disease interfering with rehabilitation. The interval between injury and operation, the duration of surgery, the amount of blood loss, the length of hospital stay and the cost of treatment were all significantly higher in the sliding hip screw group (p &lt; 0.05). The time to union, range of movement, mean Harris hip scores and Western Ontario and McMaster University knee scores were comparable at six months. The number of patients showing shortening or malrotation was too small to show a significant difference between the groups. Pin-track infection occurred in 18 patients (60%) treated with external fixation, whereas there was a single case of wound infection (3.3%) in the sliding hip screw group. <\/jats:p>","DOI":"10.1302\/0301-620x.88b10.18023","type":"journal-article","created":{"date-parts":[[2006,9,29]],"date-time":"2006-09-29T16:53:40Z","timestamp":1159548820000},"page":"1347-1350","source":"Crossref","is-referenced-by-count":17,"title":["Comparison between external fixation and sliding hip screw in the management of trochanteric fracture of the femur in Nepal"],"prefix":"10.1302","volume":"88-B","author":[{"given":"N. K.","family":"Karn","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G. K.","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. P.","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. Jayaram","family":"Gowda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, B. P. Koirala Institute of Health Sciences, Dharan, Nepal."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200012000-00024"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.84B1.0840023"},{"key":"R3","doi-asserted-by":"crossref","unstructured":"Baumgaertner MR. The pertrochanteric external fixator reduced pain, hospital stay, and mechanical complications in comparison with the sliding hip screw. J Bone Joint Surg [Am] 2002;84-A:1488.","DOI":"10.2106\/00004623-200208000-00034"},{"key":"R4","unstructured":"Kamble KT, Murthy BS, Pal V. External fixation in unstable intertrochanteric fractures of the femur. Central Institute of Orthopaedics, Safdarjang Hospital, New Delhi, India, PMID: 8730390."},{"key":"R5","doi-asserted-by":"crossref","unstructured":"Moroni A, Fadini C, Pegreffi F, et al. 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