What question did this study set out to answer?

The research aims to evaluate differences in demographics, perioperative factors, and outcomes between basicervical, intertrochanteric, and valgus neck hip fractures treated with internal fixation.

March 28, 2026

Fixation of Basicervical Hip Fractures: Are Outcomes Distinct from Neighboring Valgus Neck and Intertrochanteric Fractures?

Key Points

The research aims to evaluate differences in demographics, perioperative factors, and outcomes between basicervical, intertrochanteric, and valgus neck hip fractures treated with internal fixation.
Conducted a retrospective review of hip fracture database data from 2014 to 2025.
Included patients with AO/OTA-classified 31B3, 31A1.2, or 31B1.1 fractures treated with non-arthroplasty fixation.
Compared demographics, comorbidities, fracture characteristics, and outcomes across the groups.
Performed multivariate regressions to adjust for baseline health and procedure type.
Out of 875 patients, 122 had basicervical fractures, 523 intertrochanteric, and 230 valgus neck fractures.
Patients with basicervical fractures were younger and had higher American Society of Anaesthesiologist scores compared to intertrochanteric fractures.
Basicervical fractures had more minor in-hospital complications compared to valgus neck fractures, despite adjusting for other factors.
No significant differences in 30-day mortality or major complications, with comparable long-term outcomes across all groups.

Abstract

Background: Basicervical (BC) hip fractures represent a unique proximal femur fracture pattern for which the optimal treatment approach remains uncertain. Purpose: We sought to evaluate demographic, perioperative, and outcome differences among patients with BC (31B3), intertrochanteric (IT; 31A1.2), and valgus femoral neck (VFN; 31B1.1) fractures treated with internal fixation. Methods: We conducted a retrospective review using prospectively collected data from October 2014 to March 2025 from a hip fracture database comprising 2 urban trauma centers. Patients with AO/OTA-classified 31B3, 31A1.2, or 31B1.1 fractures treated with non-arthroplasty fixation were included. Demographics, comorbidities, fracture characteristics, surgical constructs, and short- and long-term outcomes were compared. Multivariate regressions adjusted for baseline health and procedure type. Results: Of the 875 patients who met inclusion criteria, 122 had BC fractures, 523 had IT fractures, and 230 had VFN fractures. Patients with BC fractures were significantly younger than those with IT fractures; they had higher American Society of Anaesthesiologist scores and a greater proportion of household ambulators compared to those with VFN fractures, but were otherwise similar in comorbidity status. The BC cohort had significantly more minor in-hospital complications compared to the VFN cohort, even after multivariate adjustment. No significant differences were observed in 30-day mortality or major complications. Long-term outcomes were comparable across all groups. No significant differences in short- or long-term outcomes were observed across surgical constructs within the BC cohort. Conclusion: Despite differing in baseline health status and surgical fixation strategies, BC fractures demonstrated comparable long-term outcomes to IT and VFN fractures. However, higher rates of minor complications in the BC group, even after adjustment, highlight a potentially greater perioperative risk. These findings suggest that while fixation may be effective long-term, further research is warranted to optimize acute management strategies for this anatomically and clinically distinct fracture pattern. Level of Evidence: Level IV: Prognostic retrospective study

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Cite This Study

Hammond et al. (Thu,) studied this question.

synapsesocial.com/papers/69c7723a8bbfbc51511e2896 https://doi.org/https://doi.org/10.1177/15563316261429896

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