ArticleBMC musculoskeletal disorders2019
Risk factor analysis for delayed union after subtrochanteric femur fracture: quality of reduction and valgization are the key to success.
Article in BMC musculoskeletal disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Atraumatic anterior hip dislocation after cephalomedullary nailing for an intertrochanteric femoral fracture: a case report highlighting the importance of initial reduction and prevention of excessive telescoping.BMC musculoskeletal disorders · 2026Article
- Non-union after bisphosphonate-associated atypical femoral fractures: a review of the current literature.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Review
- Article
- Does Hip Abduction during Intramedullary Nail Fixation Help Correct Residual Varus Alignment in Subtrochanteric Fractures? A Retrospective Cohort Study.Clinics in orthopedic surgery · 2025Article
- Fracture-Related Infection of the Proximal Femur - Diagnostics and Treatment.Geriatric orthopaedic surgery & rehabilitation · 2025Review
- Factors associated with increased radiation exposure in the fixation of proximal femoral fractures.Annals of the Royal College of Surgeons of England · 2025Article
- Impact of lateral cortical notching on biomechanical performance in cephalomedullary nailing for unstable pertrochanteric fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Extra Medullary Fixation in Unstable Proximal Femoral Fractures by PF-LCP.Indian journal of orthopaedics · 2024Article
- Varus mal-alignment and residual displacement are associated with delayed union in subtrochanteric femur fracture- A retrospective observational study.Journal of orthopaedics · 2023Article
- Minimally invasive clamp-assisted reduction and long InterTAN nail fixation for Seinsheimer type V subtrochanteric fractures: a case series describing the technique and results.BMC musculoskeletal disorders · 2023Article
- Reconstruction intramedullary nailing for a failed subtrochanteric Seinsheimer type IIB fracture: a case report.Frontiers in surgery · 2023Article
- Subtrochanteric femoral fractures: A case series of 194 patients treated with long and short intramedullary nails.Orthopedic reviews · 2022Article
- Fracture reduction has a dominant effect over cerclage wiring in increasing stiffness of intertrochanteric OTA/AO 31-A3.1 (reverse oblique) fractures managed with cephalomedullary osteosynthesis.OTA international : the open access journal of orthopaedic trauma · 2021Article
- Nailing femoral shaft fracture with postless distraction technique: a new technique enabled by shape-conforming pad.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2021Article
- Subtrochanteric femur fractures: current review of management.EFORT open reviews · 2021Review
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8 authors.
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Abstract
backgroundSubtrochanteric femur fractures (SFF) are uncommon, but have a high complication rate concerning non-union and mechanical complications. There is ongoing discussion about risk factors for delayed fracture healing after SFF. The purpose of this study was to evaluate potential risk factors for delayed fracture healing after SFF.
methodsThis retrospective radio-morphometric case control study compares 61 patients after SFF in two groups (uncomplicated healing within 6 months postoperatively vs. delayed union) concerning radiographical properties. The patients were analyzed concerning the following parameter: Quality of the reduction according to Baumgaertner, CCD-angle, Tip-Apex Distance, leg-length shortening and fracture healing according to the RUSH Score.
resultsThe mean RUSH-Score at 6 months postoperatively was 21.32(±4.57). At that point of time, only 29/61 fractures were radiographically fully consolidated (timely fracture healing) and 32 patients were rated as delayed union. The total revision rate was 9/61 (14.7%), whereof four patients required revision for symptomatic non-union of the SFF. The results of the radio-morphometric measurement showed a significant difference between both groups concerning the degree of reduction measured according to Baumgaertner (p = 0.022). The postoperative ipsilateral CCD-angle was different between the two groups (p = 0.019). After 12 months postoperatively, 48/61 (78.6%) of fractures were rated healed without any further intervention.
conclusionsDelayed union after SFF occurs frequently. In our patient population, the quality of reduction and the postoperative CCD-angle were the key factors to avoid delayed union. LEVEL OF EVIDENCE: Level III, Therapeutic study.
trial registrationClinical Trial Registry University of Regensburg Z-2018-1074-1. Registered 04. Aug 2018. https://studienanmeldung.zks-regensburg.de.
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