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August 5, 2025Journal of Clinical MedicineOpen Access

Intramedullary Nailing vs. Plate Fixation for Trochanteric Femoral Fractures: A Systematic Review and Meta-Analysis of Randomized Trials

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Authors

ÜMÜmit MertWitten/Herdecke UniversityMGMaher GhandourLebanese UniversityMKMohammad T. KhasawnehBinghamton University

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Overview

Systematic review evaluates clinical outcomes of intramedullary nailing and plate fixation for trochanteric fractures, suggesting individualized surgical approaches.

Key Points

  • Both intramedullary nailing and plate fixation yield similar outcomes for trochanteric femoral fractures.
  • Intramedullary nailing resulted in a significant reduction in operative time by 5.18 minutes compared to plate fixation.
  • The analysis included 14 randomized trials with a total of 4603 patients, following PRISMA guidelines.
  • Implant selection and stability of the fracture play a crucial role in determining surgical outcomes.

Cite This Study

Mert et al. (2025) studied this question.

synapsesocial.com/papers/689a0f93e6551bb0af8d11f0https://doi.org/10.3390/jcm14155492
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Locking compression plate fixation versus intramedullary nailing for subtrochanteric femoral fractures: a meta-analysis2026 · 1 citations
  2. 2Nailing the Outcome: A Comparative Study of Proximal Femoral Nail Anti-Rotation-II and Trochanteric Fixation Nail in Unstable Intertrochanteric Femur Fractures2025
  3. 3Implants for fixation of intertrochanteric femoral fracture: a systematic review and network meta-analysis of randomized controlled trials2025 · 3 citations
  4. 4Plate Versus Intramedullary Nail Fixation for Distal Fibula Fractures: A Systematic Review and Meta-Analysis of Randomised Controlled Trials2025 · 1 citations
  5. 5Intramedullary nailing versus sliding hip screw for AO/OTA 31-A2 and 31-A3 trochanteric fractures: a systematic review and meta-analysis of randomized controlled trials2026