Observational studyInternational orthopaedics2016
Loss of offset after pertrochanteric hip fractures affects hip function one year after surgery with a short intramedullary nail. A prospective cohort study.
Observational study in International orthopaedics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Short- and long-term prognostic factors associated with functional recovery in elderly patients with hip fracture: A systematic review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022Pooled it
- Cephalomedullary nailing of trochanteric fractures in geriatric patients restores natural hip geometry - a retrospective radiological analysis.BMC musculoskeletal disorders · 2026Article
- Radiographic comparison of compression hip screws and cephalomedullary nails in stable femoral trochanteric fractures.Archives of orthopaedic and trauma surgery · 2025Article
- Evaluation of reduction quality and implant positioning in intertrochanteric fracture fixation: A review of key radiographic parameters.World journal of orthopedics · 2025Review
- Change in Femoral Offset after Closed Reduction and Dynamic Hip Screw Osteosynthesis Via Lateral Approach in Patients with Medial Femoral Neck Fracture: A Retrospective Analysis.Orthopaedic surgery · 2024Article
- Article
- The postoperative prognosis of older intertrochanteric fracture patients as evaluated by the Chang reduction quality criteria.BMC geriatrics · 2022Article
- Letter regarding "the effects of bone-substitute augmentation on treatment of osteoporotic intertrochanteric fractures".Biomedical journal · 2022Article
- Postoperative computed tomography assessment of anteromedial cortex reduction is a predictor for reoperation after intramedullary nail fixation for pertrochanteric fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Comparison of Baumgaertner and Chang reduction quality criteria for the assessment of trochanteric fractures.Bone & joint research · 2019Article
- Observational
- Correlation between femoral offset loss and dynamic hip screw cut-out complications after pertrochanteric fractures: a case-control study.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018Article
- The impact of pre-existing conditions on functional outcome and mortality in geriatric hip fracture patients.International orthopaedics · 2017Observational
- Comment on Buecking et al.: Functional implications of femoral offset following hemiarthroplasty for displaced femoral neck fracture.International orthopaedics · 2016Article
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWe hypothesised that protruding collum screws in intramedullary nails used for pertrochanteric fractures cause lateral pain/discomfort and that loss of offset relates to poorer hip function.
methodsSeventy-six patients with an acute pertrochanteric femoral fracture AO types A1 and A2 were operated upon using a short intramedullary nail and were included in a prospective observational cohort study and followed-up for one year. The main outcome variables were lateral pain and hip function as evaluated with the Harris Hip Score. The main exposure was compression along the collum screw and lateral protrusion measured by anteroposterior X-ray images. Perioperative images were compared to images at the follow-up visit. Outcome variables were adjusted in regression models for reduction, fracture type, body mass index, sex and age.
resultsA total of 28 (36 %) patients experienced lateral pain at one year. We found a correlation between lateral protrusion and lateral pain, adjusted OR 4.5 per protruding centimetre (95 % CI, 1.1-17.5). Collum compression correlated with a poorer outcome with Harris Hip Score -14.2 per compressed centimetre (95 % CI, -21.8 to -6.7).
conclusionsIn patients with type A1 and A2 pertrochanteric fractures operated on using intramedullary nailing, a large compression and lateral protrusion of the collum screw are associated with poorer hip function and lateral pain. New technical improvements for implants should focus on these factors to improve functional outcome after surgery.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.