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January 1, 2024Journal of Long-Term Effects of Medical Implants

Complications Following Short Femoral Nail Fixation for Intertrochanteric Hip Fractures: A Retrospective Study

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Key result

Intramedullary nailing for intertrochanteric hip fractures shows a ~3% postoperative complication rate.

  • n=240

Why the study?

Intramedullary nail fixation for intertrochanteric hip fractures is widely used but associated complications have not been fully characterized in a major trauma center.

Population

240 patients with intertrochanteric femur fractures treated with intramedullary nails, mean age 82.3 years

Comparison

Not applicable, single treatment cohort with intramedullary nails (Stryker Gamma3 Nail and VITUS PF Nail)

Design

Retrospective observational study at a major trauma center

Authors

AVAnastasia VasilopoulouUniversity of CreteATAntonios TrichonasHellenic Red CrossKPKonstantinos PalaiologosUniversity of Thessaly

Discussion

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Implication

Observed low complication rate with intramedullary nailing may inform fixation decisions; leaves open need for randomized comparisons.

Study Design

Type

Observational (n=240)

Multicenter

No

Structured PICO

P
Population
240 patients (mean age 82.3 years) with intertrochanteric femur fractures treated with intramedullary nails at a single trauma center between October 2020 and October 2022.
E
Exposure
Intramedullary nail fixation (Stryker Gamma3 Nail and VITUS PF Nail)
O
Outcome
Complications following the postoperative periodsafety

While intramedullary nail fixation for intertrochanteric hip fractures offers biomechanical and operative advantages, it is associated with serious complications such as lag screw cutout, avascular necrosis, and periprosthetic fractures that require complex revision surgery.

Cite This Study

Vasilopoulou et al. (2024) conducted an observational in Intertrochanteric hip fractures (n=240). Intramedullary nails was evaluated on Postoperative complications. Intramedullary nailing for intertrochanteric hip fractures in 240 patients resulted in 6 recorded complications (2.5%), including lag screw cutout, avascular necrosis, and periprosthetic fractures.

synapsesocial.com/papers/6aace46e615adbb6d4f21d81https://doi.org/10.1615/jlongtermeffmedimplants.2023048205
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Clinical outcomes following long versus short cephalomedullary devices for fixation of extracapsular hip fractures: a systematic review and meta-analysis2021 · 17 citations
  2. 2Influence of the PFNA screw position on the risk of cut-out in an unstable intertrochanteric fracture: a computational analysis2021 · 17 citations
  3. 3Conversion Hip Arthroplasty Using Standard and Long Stems after Failed Internal Fixation of Intertrochanteric Fractures2022 · 15 citations
  4. 4Tip-Apex Distance Is Most Important of Six Predictors of Screw Cutout After Internal Fixation of Intertrochanteric Fractures in Women2017 · 41 citations