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September 10, 2025BMC Musculoskeletal DisordersOpen Access

Implants for fixation of intertrochanteric femoral fracture: a systematic review and network meta-analysis of randomized controlled trials

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Authors

SZShanshan ZhangYGYing GeZBZhaodong Bi

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Overview

Systematic review evaluates safety and effectiveness of implants for intertrochanteric femoral fractures in older adults, suggesting no superior option exists.

Key Points

  • InterTAN nail reduced non-mechanical major post-surgery complications significantly, with an OR of 0.55.
  • The study included 54 trials enrolling 10,275 participants, assessing various implants against sliding hip screw.
  • Network meta-analysis methods were utilized to evaluate treatment effects and categorize implant interventions.
  • Results indicate no implant demonstrated clear superiority, although ITN had the highest intraoperative complication risk.

Cite This Study

Zhang et al. (2025) studied this question.

synapsesocial.com/papers/68c1d03e54b1d3bfb60f6fachttps://doi.org/10.1186/s12891-025-09032-w
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Also Consider

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

  1. 1Intramedullary Nailing vs. Plate Fixation for Trochanteric Femoral Fractures: A Systematic Review and Meta-Analysis of Randomized Trials2025 · 1 citations
  2. 2Intramedullary 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
  3. 3Different Surgical interventions for Unstable intertrochanteric fracture of the femur: Network meta-analysis2023 · 1 citations
  4. 4Prospective randomised control study of role of proximal femur nail and dynamic hip screw and plate in unstable intertrochanteric fractures of the femur in elderly2018
  5. 5Comparison of clinical outcomes with InterTan vs Gamma nail or PFNA in the treatment of intertrochanteric fractures: A meta-analysis2017 · 63 citations