Narrative review highlights management strategies for surgical treatment of femoral fractures, indicating high mortality rates and need for classification systems.
There is no definitive consensus on the optimal surgical treatment of "around the nail" femoral fractures. Treatment choice is influenced by fracture location, implant stability, and patient comorbidities. Plating, nail revision, and prosthetic replacement each carry specific risks and benefits. The high complication and mortality rates, along with variability in outcomes, highlight the need for standardized classification systems and high-quality comparative studies to guide treatment in this challenging clinical scenario.
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Motassime et al. (2025) studied this question.
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