ArticleBMC musculoskeletal disorders2015
Does integrity of the lesser trochanter influence the surgical outcome of intertrochanteric fracture in elderly patients?
Article in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- When to Reduce and Fix Displaced Lesser Trochanter in Treatment of Trochanteric Fracture: A Systematic Review.Frontiers in surgery · 2022Pooled it
- Arthroscopic Resection of a Displaced Lesser Trochanteric Fragment: Efficient Access and Instrumentation After Prior Hip Arthroplasty or Intertrochanteric Fracture.Arthroscopy techniques · 2025Article
- Robot-assisted PFNA surgery improves clinical outcomes in the treatment of unstable femoral intertrochanteric fractures in elderly patients compared with traditional PFNA surgery.Scientific reports · 2025Article
- The Impact of Lesser Trochanter Displacement on Hip Flexor Strength Recovery in Patients With Trochanteric Fracture.Cureus · 2024Article
- Posterolateral wall integrity in reverse oblique intertrochanteric fracture fixation: A new perspective in evaluation.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Application of lesser trochanteric reduction fixator in the treatment of unstable intertrochanteric fractures.World journal of clinical cases · 2023Article
- The Impact of Banana-Shaped Fragments on Trochanteric Hip Fractures Treated by PFNA.Indian journal of orthopaedics · 2023Article
- Trochanter migrans: late complications due to displacement of the lesser trochanter in trochanteric fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Biomechanical comparison of screw vs. cerclage refixation in orthogeriatric lesser trochanteric fractures: a cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 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
- The impact of the union of lesser trochanter fragments after intramedullary fixation of trochanteric femoral fractures: an X-ray based study.BMC musculoskeletal disorders · 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
- Sub-Classification of AO/OTA-2018 Pertrochanteric Fractures Is Associated With Clinical Outcomes After Fixation of Intramedullary Nails.Geriatric orthopaedic surgery & rehabilitation · 2021Article
- Loss of the posteromedial support: a risk factor for implant failure after fixation of AO 31-A2 intertrochanteric fractures.Chinese medical journal · 2020Article
- Risk factors for implant failure in reverse oblique and transverse intertrochanteric fractures treated with proximal femoral nail antirotation (PFNA).Journal of orthopaedic surgery and research · 2019Article
- No difference in flexion power despite iliopsoas fatty degeneration in healed hip fractures with large lesser trochanter displacement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- The Influence of Position of the Displaced Lesser Trochanter on Clinical Outcome of Unstable Trochanteric Femur Fractures in the Elderly.BioMed research international · 2018Article
- A retrospective analysis of the InterTan nail and proximal femoral nail anti-rotation-Asia in the treatment of unstable intertrochanteric femur fractures in the elderly.Journal of orthopaedic surgery and research · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost surgeons do not fix the lesser trochanter when managing femoral intertrochanteric fractures with intramedullary nails. We have not found any published clinical studies on the relationship between the integrity of the lesser trochanter and surgical outcomes of intertrochanteric fractures treated with intramedullary nails. The purpose of this study was to evaluate the impact of the integrity of the lesser trochanter on the surgical outcome of intertrochanteric fractures.
methodsA retrospective review of 85 patients aged more than 60 years with femoral intertrochanteric fractures from January 2010 to July 2012 was performed. The patients were allocated to two groups: those with (n = 37) and without (n = 48) preoperative integrity of the lesser trochanter. Relevant patient variables and medical comorbidities were collected. Medical comorbidities were evaluated according to the American Society of Anesthesiologists classification and medical records were also reviewed for age, sex, time from injury to operation, intraoperative blood loss, volume of transfusion, operative time, length of stay, time to fracture union, Harris Hip Score 1 year postoperatively, and incidence of postoperative complications. Postoperative complications included deep infection (beneath the fascia lata), congestive heart failure, pulmonary embolus, cerebrovascular accident, pneumonia, cardiac arrhythmia, urinary tract infection, wound hematoma, pressure sores, delirium, and deep venous thrombosis. Variables were statistically compared between the two groups, with statistical significance at P<0.05.
resultsPatients with and without preoperative integrity of the lesser trochanter were comparable for all assessed clinical variables except fracture type (P < 0.05). There were no statistically significant differences between these groups in time from injury to operation, volume of transfusion, length of stay, time to fracture union, Harris Hip Score at 1 year postoperatively, and incidence of postoperative complication (P > 0.05). The group with preoperative integrity of the lesser trochanter had significantly less blood loss (107.03 ± 49.21 mL) than those without it (133.96 ± 58.08 mL) (P < 0.05) and the operative time was significantly shorter in the former (0.77 ± 0.07 hours) than the latter (0.84 ± 0.11 hours) group (P < 0.05).
conclusionsThe integrity of the lesser trochanter has no significant influence on the surgical outcome of intramedullary nail internal fixation of femoral intertrochanteric fractures.
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