Evidence map›Paper›PMID 41801471›Full record

ArticleArchives of orthopaedic and trauma surgery2026

The accumulation of technical errors exponentially increases the risk of screw cut-out in femoral intramedullary nailing.

Damien Brochard, Maëlys Thepaut, Thomas Daoulas, Arthur Poiri, Hoel Letissier, Rémi Di Francia

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Article in Archives of orthopaedic and trauma surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Damien BrochardHospital of the Pays de Morlaix, Morlaix, France.
Maëlys ThepautCentre Hospitalier Régional Universitaire de Brest, Brest, France.
Thomas DaoulasCentre Hospitalier Régional Universitaire de Brest, Brest, France. thomas.daoulas@outlook.fr.
Arthur PoiriCentre Hospitalier Régional Universitaire de Brest, Brest, France.
Hoel LetissierCentre Hospitalier Régional Universitaire de Brest, Brest, France.
Rémi Di FranciaCentre Hospitalier Régional Universitaire de Brest, Brest, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProximal femur fractures primarily affect the elderly, with significant morbidity, mortality, and socioeconomic impact. The main complication of short trochanteric intramedullary nailing is the cut-out of the cervicocapital screw through the femoral head. The objective of this study was to analyze the influence of technical errors in short trochanteric intramedullary nailing for the treatment of trochanteric femur fractures on the mechanical failure of osteosynthesis.

methodsA total of 540 patients who underwent surgery for a trochanteric femur fracture using short trochanteric intramedullary nailing were included in a single-center, retrospective study conducted between February 2012 and July 2018.

resultsThirty patients (5.6%) experienced mechanical failure of the osteosynthesis at the 3-month follow-up. An anterior position of the cervicocapital screw, accumulation of technical errors, a tip-apex distance > 25 mm, and an intra-focal entry point were significantly associated with cervicocapital screw cut-out.

conclusionThe mechanical failure rate is 5.6%. Short trochanteric intramedullary nailing requires precise execution to reduce the risk of cervicocapital screw cut-out, which is a source of osteosynthesis failure.

Indexed as

Bone ScrewsFracture Fixation, IntramedullaryMedical ErrorsProsthesis FailureAgedAged, 80 and overBone NailsFemaleHumansMaleMiddle AgedProximal Femoral FracturesRetrospective Studiesfractureosteosynthesistip-apex distanceTrochanteric femur

Identifiers

PMID41801471
PMCPMC12971767

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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.