ArticleJournal of clinical orthopaedics and trauma2025
Impact of femoral head size on the localization of proximal femur fractures: Retrospective analysis of 400 cases.
Article in Journal of clinical orthopaedics and trauma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- The effect of the preferred anesthesia method on early postoperative outcomes in elderly patients with hip fractures; a retrospective three-way comparative study.BMC geriatrics · 2026Article
- A novel three-dimensional proximal femoral intramedullary nail (TD-PFIN) system with better biomechanical advantages: a finite element analysis study.Journal of orthopaedics · 2025Article
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5 authors.
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Abstract
Background: Proximal femur fractures are prevalent among the elderly, leading to high mortality, reduced quality of life, and significant healthcare burdens. The incidence is rising with demographic ageing, with osteoporotic fractures projected to reach 6 million annually by 2050, costing $25.4 billion. A 351 % increase in proximal femur fractures among individuals over 85 years is expected. Accurate fracture localization through imaging, combined with understanding femoral head size and patient-specific factors, improves preoperative planning and outcomes. This study explores the relationship between femoral head size and fracture localization. Methods: A retrospective cohort study analyzed data from 400 patients with proximal femur fractures treated between 2010 and 2022. Fractures were classified as medial, lateral, pertrochanteric, or subtrochanteric. Radiographs measured femoral head morphology, and statistical analyses, including chi-square tests, t-tests, ANOVA, and logistic regression, identified predictors of fracture localization. Results: Femoral head area (FHA) varied significantly across fracture types, with lateral fractures having the largest mean FHA (2355.95 mm Conclusion: Larger femoral heads are associated with lateral fractures, whereas pertrochanteric fractures occur in older patients. Subtrochanteric fractures correlate with smaller femoral heads and advanced osteoarthritis.
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