ArticleArchives of orthopaedic and trauma surgery2022
CT analysis of femoral malrotation after intramedullary nailing of trochanteric fractures.
Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 11 citations in OpenAlex.
- Development of intraoperative fluoroscopic protocols to avoid rotational malalignment during nailing of femoral fractures: a step-by-step guideline using the lesser trochanter profile or true lateral view.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Femoral malrotation after trochanteric fracture nailing: what is the safety zone of limb rotation during closed reduction?Archives of orthopaedic and trauma surgery · 2025Article
- Impact of operative position on rotational alignment after intramedullary nailing of trochanteric fractures: a comparative analysis of lateral decubitus versus supine position.BMC musculoskeletal disorders · 2024Article
- Article
- Validation of direct CT measurement of malrotation in femoral neck fractures: A bone model study.PloS one · 2023Article
- Measurement of Lag-Screw Anteversion With an iPhone During Trochanteric Fracture Surgery.Cureus · 2022Article
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeFunctional results after internal fixation of trochanteric femoral fractures may be negatively affected by healing in a non-physiological position. The aim of this study was to evaluate the occurrence and severity of femoral malrotation after nailing of trochanteric fractures. MATERIALS AND
methodsThe authors conducted a prospective study focused on a CT analysis of malrotation after intramedullary nailing of trochanteric fractures (AO 31A1-3) in 101 patients. We recorded the type of fracture, method of anesthesia, scheduled surgery vs. acute surgery, and the surgeon's experience as possible risk factors for limb malrotation after trochanteric fracture surgeries.
resultsThe average extent of malrotation was 9° of internal rotation ranging from 29° of external to 48°of internal rotation. In 35% of patients, we observed a rotation greater than 15°, and in 15 patients (15%), the rotation was greater than 25°. The risk of significant internal malrotation was significantly higher than external malrotation (37 vs. 4 patients). None of the factors observed proved to be statistically significant. The effect of general anesthesia and the type of intertrochanteric fracture came closest to having a significant effect on rotational error.
conclusionImproper reduction of a trochanteric fracture is a common problem that can lead to femur malrotation. In our study, a rotational error greater than 15° occurred in 35% of the patients, but none of the monitored factors represented a statistically significant risk for this complication.
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