ArticleJournal of orthopaedic surgery and research2019
Risk factors for implant failure in reverse oblique and transverse intertrochanteric fractures treated with proximal femoral nail antirotation (PFNA).
Article in Journal of orthopaedic surgery and research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.
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Who cites it
43 citing papers in PubMed, 75 citations in OpenAlex.
- Finite-Element Comparison of a Proximal Femoral Laterally Bionic Intramedullary Nail (PFLBN) Versus PFNA and PFBN for AO/OTA 31-A3.1 Intertrochanteric Fractures.Orthopaedic surgery · 2026Article
- Treatment Strategies and Complications in Reverse-Oblique Trochanteric Femur Fractures and Evaluation of a New Classification System.Journal of clinical medicine · 2026Article
- 320 mm InterTan nail optimizes biomechanics in AO/OTA 31A2.3 fractures: superior stress distribution, micromotion, and strain for enhanced healing.Frontiers in bioengineering and biotechnology · 2026Article
- Minimally invasive reduction of irreducible, sagittally unstable peritrochanteric fractures: Novel technique and early results.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Article
- Risk factors for implant failure of PFNA-II in the treatment of intertrochanteric fractures (AO/OTA 31 A1 and A2).BMC musculoskeletal disorders · 2025Article
- Finite element analysis of the modified intramedullary nail-II for managing reverse obliquity trochanteric fractures.Scientific reports · 2025Article
- Biomechanical evaluation of the new intramedullary system II for treating reverse obliquity trochanteric fractures.Scientific reports · 2025Article
- Anatomical structure of the medullary cavity of proximal femur with three-dimensional computed tomography.BMC musculoskeletal disorders · 2025Article
- An overview of patients with intertrochanteric femoral fractures treated with proximal femoral nail fixation using important criteria.BMC musculoskeletal disorders · 2024Article
- Research Progress on the Treatment of Geriatric Intertrochanteric Femur Fractures with Proximal Femur Bionic Nails (PFBNs).Orthopaedic surgery · 2024Review
- Experimental Analysis of a Failed Gamma Nail: A Case Report and Literature Review.Healthcare (Basel, Switzerland) · 2024Article
- The Functional Outcome of Proximal Femoral Nail Antirotation-2 (PFNA-2) in Peritrochanteric Fractures of the Femur.Cureus · 2024Article
- Posterolateral wall integrity in reverse oblique intertrochanteric fracture fixation: A new perspective in evaluation.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Biomechanical comparison of an intramedullary nail combined with a reconstruction plate combination versus a single intramedullary nail in unstable intertrochanteric fractures with lateral femoral wall fracture: A finite element analysis.Acta orthopaedica et traumatologica turcica · 2024Article
- Surgical options for Evans-Jensen type IV intertrochanteric femur fractures in the elderly over 65: a comparison between total hip arthroplasty and proximal femoral nail antirotation.Frontiers in surgery · 2024Article
- Key factors for increased tip-apex distance when treating intertrochanteric fractures with InterTAN nails.Frontiers in bioengineering and biotechnology · 2024Article
- Biomechanical Comparison of Short-, Mid-, and Long-Length Proximal Femoral Nails for Femoral Intertrochanteric Fracture (AO/OTA 31A3.3) Fixation.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- Complication Rates and Survival of Nonagenarians after Hip Hemiarthroplasty versus Proximal Femoral Nail Antirotation for Intertrochanteric Fractures: A 15-Year Retrospective Cohort Study of 113 Cases.Orthopaedic surgery · 2023Article
- Clinical and Radiological Characteristics of Lesser Trochanter Splitting Irreducible Intertrochanteric Fractures.Clinics in orthopedic surgery · 2023Article
- Predictors of and predictive nomogram for cut-out of proximal femur nail anti-rotation device in intertrochanteric fractures.Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe incidence of intertrochanteric hip fracture is expected to increase as the global population ages. It is one of the most important causes of mortality and morbidities in the geriatric population. The incidence of reverse oblique and transverse intertrochanteric (AO/OTA 31-A3) fractures is relatively low; however, the incidence of implant failure in AO/OTA 31-A3 fractures is relatively high compared with that in AO/OTA 31-A1 and A2 fractures. To date, the risk factors for implant failure in AO/OTA 31-A3 fractures treated with proximal femoral nail antirotation (PFNA) have remained ambiguous. The purpose of this study was to identify the predictive factors of implant failure in AO/OTA 31-A3 fractures treated with PFNA.
methodsThe data of all patients who underwent surgery for trochanteric fractures at our institution between January 2006 and February 2018 were retrospectively reviewed. All AO/OTA 31-A3 fractures treated with PFNA were included. Logistic regression analysis of potential predictors of implant failure was performed. Potential predictors included age, sex, body mass index, fracture type, reduction method, status of posteromedial support and lateral femoral wall, reduction quality, tip-apex distance and position of the helical blade in the femoral head.
resultsOne hundred four (9.3%) patients with AO/OTA 31-A3 fractures were identified. Forty-five patients with AO/OTA 31-A3 fractures treated with PFNA were suitable for our study. Overall, implant failure occurred in six (13.3%) of forty-five patients. Multivariate analysis identified poor reduction quality (OR, 28.70; 95% CI, 1.91-431.88; p = 0.015) and loss of posteromedial support (OR, 18.98; 95% CI, 1.40-257.08; p = 0.027) as factors associated with implant failure.
conclusionsPoor reduction quality and loss of posteromedial support are predictors of implant failure in reverse oblique and transverse intertrochanteric fractures treated with PFNA.
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