Trial reportInternational orthopaedics2014
Proximal femoral nails compared with reverse distal femoral locking plates in intertrochanteric fractures with a compromised lateral wall; a randomised controlled trial.
Trial report in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 5 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- What patient reported outcome measures are used in clinical trials in hip fracture? A systematic mapping review.BMC musculoskeletal disorders · 2026Pooled it
- Surgical interventions for treating extracapsular hip fractures in older adults: a network meta-analysis.The Cochrane database of systematic reviews · 2022Pooled it
- Cephalomedullary nails versus extramedullary implants for extracapsular hip fractures in older adults.The Cochrane database of systematic reviews · 2022Pooled it
- A meta-analysis comparing intramedullary with extramedullary fixations for unstable femoral intertrochanteric fractures.Medicine · 2019Pooled it
- Intramedullary versus extramedullary internal fixation for unstable intertrochanteric fracture, a meta-analysis.Acta orthopaedica et traumatologica turcica · 2018Pooled it
- A proposed three‑dimensional anatomical definition and morphometric quantification of the lateral femoral wall: a reliable CT‑based measurement system validated across two software platforms.Surgical and radiologic anatomy : SRA · 2026Article
- Proximal femoral nail anti-rotation with and without cable cerclage for intertrochanteric femoral fractures with vulnerable lateral wall: a retrospective cohort study.BMC musculoskeletal disorders · 2026Article
- The proximal femoral universal nail system (PFUN): a novel intramedullary nail for treating complex proximal femoral fractures and its biomechanical comparison with the proximal femoral nail anti-rotation (PFNA).Journal of orthopaedic surgery and research · 2025Article
- Finite Element Analysis of Proximal Femoral Bionic Nail (PFBN), Proximal Femoral Nail Antirotation and InterTan for Treatment of Reverse Obliquity Intertrochanteric Fractures.Orthopaedic surgery · 2025Article
- Risk factors for intertrochanteric femoral fractures with concomitant lateral wall involvement in elderly women.Frontiers in surgery · 2025Article
- Article
- [Research progress on weak state of lateral wall in intertrochanteric fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
- Augmentation of intramedullary nail in unstable intertrochanteric fractures with plate or cable.Frontiers in surgery · 2024Article
- Outcome of buttress plate-nail construct used for reconstruction of broken lateral wall in intertrochanteric fractures.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- Relative instability ratios of bone wall defects in trochanteric hip fractures: A finite element analysis.Frontiers in bioengineering and biotechnology · 2023Article
- Proposal and validation of a new classification for trochanteric fractures based on medial buttress and lateral cortical integrity.Frontiers in surgery · 2023Article
- Finite-Element Analysis of a Novel Cephalomedullary Nail for Restricted Sliding to Reduce Risk of Implant Failure in Unstable Intertrochanteric Fractures.Orthopaedic surgery · 2022Article
- A Retrospective Study of 98 Elderly Patients with High-Risk Lateral Femoral Wall Intertrochanteric Hip Fractures to Compare Outcomes Following Surgery with Proximal Femoral Nail Antirotation (PFNA) Versus Dynamic Hip Screw (DHS).Medical science monitor : international medical journal of experimental and clinical research · 2022Article
- Reverse distal femoral locking compression plate (DF-LCP), does it fit and how to fit on Asian's proximal femurs? A cadaveric study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Association of the lateral wall integrity with clinical outcomes in older patients with intertrochanteric hip fractures treated with the proximal femoral nail anti-rotation-Asia.International orthopaedics · 2021Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere is no consensus about the best option of internal fixation for unstable intertrochanteric fractures. The aim of the present study was to compare proximal femoral nail (PFN) with contralateral reverse distal femoral locking compression plate (reverse-DFLCP) in the management of unstable intertrochanteric fractures with compromised lateral wall.
methodIn a randomized controlled study, from November 2011 to October 2012, 40 patients with unstable intertrochanteric fractures with compromised lateral wall (AO 31A 2.2 to 3.3) had osteosynthesis by PFN (n = 20) or reverse-DFLCP (n = 20). Intra-operative variables compared were duration of surgery, blood loss during surgery, fluoroscopy time and surgeons perception of the surgery. Patients were followed up clinically for a minimum of one year. Functional outcome was assessed by Parker Palmer mobility score (PPMS), Harris hip score (HHS), and Short Form-12. Failure was defined as any condition which would necessitate revision surgery with change of implant.
resultsDuration of surgery (p = 0.022), blood loss during surgery (p = 0.008) and fluoroscopy time (p = 0.0001) were significantly less in the PFN group than in the reverse-DFLCP group. No significant difference was found in type of reduction, difficulty in reduction and surgeon's perception of surgery. The PFN group had better functional outcome than the reverse-DFLCP group. HHS for the PFN group was 81.53 ± 13.21 and for the reverse-DFLCP group it was 68.43 ± 14.36 (p = 0.018). SF-12 physical (p = 0.002) and mental component (p = 0.007) scores in the PFN group was significantly better than in the reverse-DFLCP group. There was one failure in the PFN group as compared to six in the reverse-DFLCP group (p = 0.036).
conclusionDue to favourable intra-operative variables, better functional outcome and lower failure rates, we conclude that PFN is a better implant than reverse-DFLCP for intertrochanteric fractures with compromised lateral wall.
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