ArticleArchives of orthopaedic and trauma surgery2022
Peri-implant fracture: a rare complication after intramedullary fixation of trochanteric femoral fracture.
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 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Peri-implant femoral fractures around intramedullary nails: current management strategies and outcomes-a narrative review.Journal of orthopaedic surgery and research · 2025Pooled it
- Review
- Femoral Shaft Fragility Fractures: Peri-Implant Fracture Risk Mitigated by Femoral Neck Protection.The Iowa orthopaedic journal · 2026Article
- Delayed Peri-Implant Trochanteric Femoral Fractures After Intramedullary Nailing: Surgical Challenges in an Aging Society: A Two-Case Report.Case reports in orthopedics · 2026Article
- Peri-implant and subsequent proximal femur fractures above distally based supracondylar femoral fixation constructs.OTA international : the open access journal of orthopaedic trauma · 2025Article
- Article
- Plate, short nail, or long nail? Revision rates and complications of three different treatments for peritrochanteric femur fractures.Journal of orthopaedics · 2025Article
- Risk factors for one-year mortality in 440 femoral peri-implant fractures: insights from the PIPPAS prospective, multicentre, observational study.Bone & joint open · 2025Article
- Assessing potential factors leading to perioperative peri-implant fracture in femoral pertrochanteric fracture osteosynthesis using the proximal femoral nail antirotation 2: A retrospective study.BMC musculoskeletal disorders · 2024Article
- Letter to the Editor: Intramedullary Nailing of Intertrochanteric Femoral Fractures in a Level I Trauma Center in Finland: What Complications Can Be Expected?Clinical orthopaedics and related research · 2024Article
- Peri-implant fractures after Intramedullary fixation for femoral trochanteric fracture: a multicenter (TRON Group) study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Therapy aspects of peri-implant femoral fractures-a retrospective analysis of 64 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- [Research progress on distal interlocking screws of cephalomedullary nails in intertrochanteric fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Locking Attachment Plate for the Surgical Treatment of Periprosthetic and Periimplant Fractures: Long-Term Follow-Up.The archives of bone and joint surgery · 2024Article
- Perioperative peri-implant fracture after osteosynthesis for geriatric femoral pertrochanteric fracture with the linear compression integrated screw intramedullary nail system (INTERTAN™): a retrospective study.Journal of orthopaedic surgery and research · 2023Article
- A Retrospective analysis of peri-implant fractures: insights from a large volume clinical Study.International orthopaedics · 2023Article
- Comparison of Outcomes of Long Versus Short Cephalomedullary Nails for the Fixation of Intertrochanteric Femur Fractures: A Systematic Review and Meta-analysis of 14,547 Patients.Indian journal of orthopaedics · 2023Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTrochanteric femoral fractures are among the most common operatively treated fractures. Intramedullary fixation has become the treatment of choice in many centers around the world. Nevertheless, the knowledge of rare complications of these fractures is limited. In this study, the incidence and treatment strategies for peri-implant fractures (PIF) were assessed. MATERIALS AND
methodsA single-center retrospective cohort study was done on 987 consecutive operatively treated trochanteric fractures. PFNA cephalomedullary nail was used as a fixation method. All patients were followed up from patient records for peri-implant fractures. Plain radiographs as well as different salvage methods were analyzed and compared.
resultsThe total rate of peri-implant fractures was 1.4% (n = 14). The rate of PIF for patients treated with short (200 mm) nails, intermediate-length (240 mm) nails, and long nails was 2.7% (n = 2), 1.5% (n = 11), and 0.7% (n = 1), respectively (ns, p > 0.05 for difference). Treatment of choice for PIF was either ORIF with locking plate (57%, n = 8) or exchange nailing (43%, n = 6). None of the PIF patients needed additional surgeries for non-union, malunion, or delayed union.
conclusionsA PIF is a rare complication of intramedullary fixation of trochanteric fractures. It can be treated with either locking plates or exchange nailing with sufficient results. There are no grounds for favoring long nails to avoid PIFs.
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