ArticleInternational orthopaedics2019
Effect of reduction quality on post-operative outcomes in 31-A2 intertrochanteric fractures following intramedullary fixation: a retrospective study based on computerised tomography findings.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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34 citing papers in PubMed, 44 citations in OpenAlex.
- The clinical efficacy of Medial Sustain Nail(MSN) and Proximal femoral nail anti-rotation(PFNA) for fixation of medial comminuted trochanteric fractures: a prospective randomized controlled trial.International orthopaedics · 2024Trial
- Cortical Support in Unstable Intertrochanteric Fracture without Fixation of Posteromedial Fragment.Clinics in orthopedic surgery · 2026Article
- Factors influencing mechanical failure following intramedullary nailing of proximal femur fractures: a retrospective cohort study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Measurement of the principal compressive trabeculae in the midcoronal plane of proximal femur and its significance in lag screw fixation.Journal of orthopaedic surgery and research · 2026Article
- Modifying the reduction quality criteria of the Baumgaertner classification may increase its performance in predicting mechanical failure after intertrochanteric nailing.OTA international : the open access journal of orthopaedic trauma · 2025Article
- The Femoral Neck-Shaft Offset: A Key Element in the Reconstruction of Intertrochanteric Fracture.Orthopaedic surgery · 2025Article
- Evaluation of reduction quality and implant positioning in intertrochanteric fracture fixation: A review of key radiographic parameters.World journal of orthopedics · 2025Review
- The RESCUE Technique: A Mnemonic Acronym to Enhance Outcomes in Nail Fixation of Extracapsular Hip Fractures.Journal of clinical medicine · 2025Article
- Flexible reamer use to overcome entry point errors in proximal femoral nail application in severe obese intertrochanteric fracture patients.BMC musculoskeletal disorders · 2024Article
- Biomechanical characteristic differences of two new types of intramedullary nail devices in the treatment of comminuted intertrochanteric fractures of femur: a comparative study based on finite element analysis.Journal of orthopaedic surgery and research · 2024Article
- Quantitative Analysis of Primary Compressive Trabeculae Distribution in the Proximal Femur of the Elderly.Orthopaedic surgery · 2024Article
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- Reduction quality in lateral view of X-ray and hypoalbuminemia are associated with postoperative mortality in elderly pertrochanteric fracture patients.Quantitative imaging in medicine and surgery · 2023Article
- Risk factors for over-telescoping in reverse oblique intertrochanteric fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Biomechanical evaluation of three implants for treating unstable femoral intertrochanteric fractures: finite element analysis in axial, bending and torsion loads.Frontiers in bioengineering and biotechnology · 2023Article
- Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note.SICOT-J · 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 modified cable wiring technique with C-shaped passer through a mini-open approach to assist reduction in femoral fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine how the reduction of medial and anteromedial cortices using CT findings in 31-A2 intertrochanteric fractures treated with the intramedullary nail could affect the clinical outcomes and complication rates of the fractures.
methodsWe retrospectively analyzed the data of 43 patients with 31-A2 intertrochanteric fractures who underwent closed reduction and intramedullary internal fixation (CRIF) between January 2010 and December 2013. Patients were classified into two groups based on the post-operative CT scans taken from the sagittal and coronal planes, respectively. Five radiographic parameters and three clinical parameters were used to evaluate the post-operative functional states and mobilization levels in this study. Post-operative complications were also recorded.
resultsThe mean loss of the femoral neck-shaft angle (FNSA) was significantly smaller in Group C1 than that in Group C2. There were significant differences in the sliding distance of the cephalic nail and the loss of femoral head height between the two groups. In terms of the reduction conditions shown on the sagittal planes, the FNSA, sliding distance of the cephalic nail, and the loss of FHH were significantly different, although differences in TCD were not significant. Patients in groups C1 (3.6%) and S1 (0.0%) had lower complication rates compared to patients in groups C2 (26.7%) and S2 (27.8%).
conclusionPatients with good reduction quality of the medial and anteromedial sustainable cortices had better clinical outcomes and lower complication rates. The sustainable stability and anti-rotational function of these validated reductions might play a critical role in maintaining the fragment positions and reducing the incidence of complications in patients.
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