ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2018
Comparison between locked and unlocked intramedullary nails in intertrochanteric fractures.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
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Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.
- Distal locked versus unlocked intramedullary nailing for stable intertrochanteric fractures, a systematic review and meta-analysis.BMC musculoskeletal disorders · 2020Pooled it
- The Influence of Vitamin C on Postoperative Pain in Patients with Trochanteric Femur Fracture.Anesthesiology and pain medicine · 2026Article
- Article
- Advantages of Distal Unlocked Proximal Femoral Nails in the Treatment of Stable Intertrochanteric Fractures in Geriatric Patients: A Single-Center Comparative Randomized Study.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- [Research progress on distal interlocking screws of cephalomedullary nails in intertrochanteric fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Comparison of Bone-setting Robots and Conventional Reduction in the Treatment of Intertrochanteric Fracture: A Retrospective Study.Orthopaedic surgery · 2024Article
- Article
- Peri-implant femoral fractures: Challenges, outcomes, and proposal of a treatment algorithm.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- Locking in trochanteric fractures: a comparison of static versus dynamic locking using the Gamma3 nail.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- A comparative analysis of distal locked and unlocked long proximal femoral nail antirotation (PFNA-II) in the fixation of stable intertrochanteric fractures.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2023Article
- 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
- Reoperation rates after proximal femur fracture fixation with single and dual screw femoral nails: a systematic review and meta-analysis.EFORT open reviews · 2022Review
- Intramedullary nail holes laser indicator, a non-invasive technique for interlocking of intramedullary nails.Scientific reports · 2021Article
- Cemented hemiarthroplasty versus proximal femoral nail antirotation in the management of intertrochanteric femoral fractures in the elderly: a case control study.BMC musculoskeletal disorders · 2021Article
- Management of pertrochanteric fractures in patients over 90 years: In-hospital mortality rate, complications and associated risk factors.BMC musculoskeletal disorders · 2021Article
- Additional use of anti-rotation U-blade (RC) decreases lag screw sliding and limb length inequality in the treatment of intertrochanteric fractures.Scientific reports · 2021Article
- Static vs dinamic short nail in pertrochanteric fractures: experience of two center in Northern Italy.Acta bio-medica : Atenei Parmensis · 2021Article
- Intramedullary Nail Breakage and Mechanical Displacement in Patients with Proximal Femoral Fractures: A Commercial and Medicare Supplemental Claims Database Analysis.Medical devices (Auckland, N.Z.) · 2021Article
- The suitable fixation for unstable intertrochanteric fractures: A protocol of comparative clinical study.Medicine · 2020Article
- Distal interlocking for short trochanteric nails: static, dynamic or no locking? Review of the literature and decision algorithm.EFORT open reviews · 2020Review
Corrections and comments
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Authors and funding
13 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIntertrochanteric fractures are of great interest worldwide and are the most frequently operated fractures. Intramedullary nailing is commonly used in the treatment of intertrochanteric fractures. The purpose of this study is to assess the necessity of using the distal blocking screw in 31-A1 and 31-A2 fractures, classified according to the Orthopaedic Trauma Association classification system (AO/OTA).
methodsThis is a prospective study of 143 consecutive patients (mean age 85.01 years, mean final follow-up 14.1 months) surgically treated with the same intramedullary nail. In 75 cases, the distal locking screw was not used. Parameters evaluated during follow-up were: blood loss, transfusion requirements, surgery duration, and fluoroscopy time. Harris Hip Score and Barthel Activity Daily Living were used for the clinical evaluation. Radiographic Union Score For Hip (RUSH score) and Tip apex distance (TAD) were measured for radiologic evaluation.
resultsThe group treated without locking screw showed significantly shorter surgical duration time (31.9 vs. 47.2 min), a decrease in blood loss (variation Hb - 1.06 vs. - 1.97), and reduced X-rays exposure time (25.4 vs. 31.6 s). No significant differences were observed in the postoperative period and in the radiographic and clinical scores.
conclusionThis study demonstrates that in intertrochanteric 31-A1 and 31-A2 stable fractures, the absence of distal locking screw does not compromise bone healing and prevents several clinical complications.
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