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February 6, 2026Hip International

Locking compression plate fixation versus intramedullary nailing for subtrochanteric femoral fractures: a meta-analysis

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Authors

MBMarc BoutrosGAGuy AwadCAChristèle Asmar

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Overview

Meta-analysis compares locking compression plate fixation and intramedullary nailing for better outcomes in fractures.

Key Points

  • The aim is to compare perioperative outcomes and functional recovery between two surgical techniques for subtrochanteric femoral fractures.
  • Conducted a meta-analysis of 5 studies
  • Included 341 patients with 185 LCPF and 156 IMN
  • Assessed outcomes such as blood loss, operative time, and postoperative complications
  • IMN resulted in lower intraoperative blood loss (147.53 mL; p < 0.001)
  • IMN led to shorter hospital stay (4.73 days; p < 0.001)
  • LCPF had a shorter operative time (11.93 minutes; p = 0.03)
  • No significant differences in hip flexion, malalignment, or complication rates

Cite This Study

Boutros et al. (2026) studied this question.

synapsesocial.com/papers/698586118f7c464f23009ed7https://doi.org/10.1177/11207000251407550
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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. 2Clamp-Assisted Reduction of High Subtrochanteric Fractures of the Femur2010 · 49 citations
  3. 3Biomechanical Study of Intramedullary <i>Versus</i> Extramedullary Implants for Four Types of Subtrochanteric Femoral Fracture2022 · 10 citations
  4. 4Intramedullary Fixation of Subtrochanteric Fractures with Long Proximal Femoral Nail or Long Gamma Nail: Technical Notes and Preliminary Results2007 · 58 citations
  5. 5Does intramedullary nail have advantages over dynamic hip screw for the treatment of AO/OTA31A1-A3? A meta-analysis2023 · 19 citations