ArticleBioMed research international2018
The Influence of Position of the Displaced Lesser Trochanter on Clinical Outcome of Unstable Trochanteric Femur Fractures in the Elderly.
Article in BioMed research international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- When to Reduce and Fix Displaced Lesser Trochanter in Treatment of Trochanteric Fracture: A Systematic Review.Frontiers in surgery · 2022Pooled it
- Effect of Lesser Trochanter Fixation on Functional Outcomes Following Hemiarthroplasty for Unstable Intertrochanteric Fractures in Elderly Patients: A Retrospective Cohort Study.Clinical interventions in aging · 2026Article
- Delayed Deep Femoral Artery Injury Secondary to Migrated Lesser Trochanter Fragment After Intertrochanteric Fracture Fixation: A Case Report and Updated Literature Review.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- The Impact of Lesser Trochanter Displacement on Hip Flexor Strength Recovery in Patients With Trochanteric Fracture.Cureus · 2024Article
- The Impact of Banana-Shaped Fragments on Trochanteric Hip Fractures Treated by PFNA.Indian journal of orthopaedics · 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
- Medial Calcar Comminution and Intramedullary Nail Failure in Unstable Geriatric Trochanteric Hip Fractures.Medicina (Kaunas, Lithuania) · 2021Article
- Banding with lesser trochanter fragment using nonabsorbable tape in trochanteric femoral fractures.SICOT-J · 2021Article
- Management of Pain Associated with Fractures.Current osteoporosis reports · 2020Review
- The Associations of Serum Vitamin D and Bone Turnover Markers with the Type and Severity of Hip Fractures in Older Women.Clinical interventions in aging · 2020Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to evaluate whether position of the displaced lesser trochanter affected clinical outcome in the treatment of unstable trochanteric fractures with intramedullary fixation. PATIENTS AND
methodsPatients with unstable trochanteric fractures and displaced lesser trochanter who received intramedullary fixation were retrospectively reviewed in this study. Based on displacement distance of the lesser trochanter and whether the lesser trochanter was reduced operatively, patients were divided into three groups: patients with the displaced lesser trochanter less than 1cm (Group A), those with the displaced lesser trochanter more than 1 cm without operative reduction (Group B), or those with operative reduction (Group C). The surgical time, reduction quality, Harris Hip Score (HHS), Visual Analog Score (VAS), and complication rate were reviewed.
resultsThere were 42 patients in Group A, 33 in Group B, and 36 in Group C with comparable demographic characteristics. The surgical time was significantly longer in Group C (P=0.009), compared with Groups A and B. Fracture reduction quality was comparable with over 85% good reduction among the three groups. The VAS score was significantly higher in Group B (P=0.023) without significant difference between Groups A and B. The HHS score was slightly lower in Group B, but it did not reach significant difference. The complication rate was statistically higher in Group B (p=0.043) than Groups A and C.
conclusionThe severe displaced lesser trochanter may increase postoperative complications and postoperative pain in the treatment of unstable trochanteric femur fractures. However, the displaced lesser trochanter may not affect hip function.
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