ArticleJournal of orthopaedic case reports2025
Nailing the Outcome: A Comparative Study of Proximal Femoral Nail Anti-Rotation-II and Trochanteric Fixation Nail in Unstable Intertrochanteric Femur Fractures.
Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Intertrochanteric femur fractures are among the most common injuries in the elderly population and represent a major public health issue. Treatment aims to achieve stable fixation that allows early mobilization and minimizes complications. The choice of implant plays a critical role in clinical outcomes, particularly in unstable fracture patterns. Objectives: The aim of this study was to compare the intraoperative parameters, functional outcomes, union times, and complications between proximal femoral nail anti-rotation-II (PFNA-II) and trochanteric femur nail (TFN) in patients with unstable intertrochanteric femur fractures. Materials and Methods: A prospective, randomized, and comparative study was conducted in a tertiary care center over a period of 18 months. One hundred patients aged 50-85 years with Boyd and Griffin type III fractures were divided into two groups. Group A (n = 50) was treated using TFN, while Group B (n = 50) received PFNA-II. Surgical techniques, post-operative care, and rehabilitation protocols were standardized. Data on operative time, intraoperative blood loss, union duration, Harris Hip scores (HHS), and complications were collected and statistically analyzed. Results: The PFNA-II group had shorter operative times (Mean 65.5 min. vs. 71.5 min) and less blood loss (253 ± 36.4 mL vs. 275 ± 35.1 mL) than the TFN group. Average union time was similar between groups. Mean HHS at 6 months was higher in the PFNA-II group (67.83 ± 8.05) than the TFN group (71.72 ± 7.45), though the difference was not statistically significant. PFNA-II also showed a lower incidence of implant-related complications. Conclusion: PFNA-II offers certain intraoperative advantages and trends toward better functional outcomes and fewer complications, but the differences with TFN were not statistically significant. Both implants are viable for the treatment of unstable intertrochanteric fractures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.