Cephalomedullary nailing for reverse oblique intertrochanteric fractures 31A3 (AO/OTA)

Abstract

Introduction Reverse oblique intertrochanteric fractures are classified by the Orthopaedic Trauma Association [OTA]/[AO] as 31A3, and account for up to one-third of all hip fractures, and 2–23% of all trochanteric fractures. The treatment of choice of those fractures is intramedullary nailing as it decreases soft tissue damage and permits early weight bearing. Material and methods A retrospective comparative study was conducted on patients surgically treated for 31A3 fractures from October 2018 to January 2022 in a high-volume regional referral centre. All the patients had been treated with intramedullary nailing. Results The selected group included 11 males (16%) and 59 females (84%), with a mean age of 83.6 years (range 61 to 96 years). A Trigen Intertan Nail was the most frequent choice of intramedullary nailing in 33 patients (47%), an Elos Long nail was chosen in 19 cases (27%), while a ZNN nail was used in 18 patients (26%). The mean time between admission and surgery was 2.5 days, with a mean Hb value of 10.5 g/dl reported preoperatively. Conclusion Patients treated with an Intertan nail reported the lowest TAD, CALTAD, and TALCALTAD mean radiographic values, and the lowest rate of Hb loss and blood transfusions.

Relationship between preoperative red blood cell distribution width and postoperative pneumonia in elderly patients with hip fracture: a retrospective cohort study

“…3 Teaching Office, Shenzhen Second People's Hospital, 3002 Sungang Road West, Futian District, Shenzhen City 518000, China. 4 Department of Bone and Joint Bone Oncology, Shenzhen Second People's Hospital, Shenzhen, China. 5 First Affiliated Hospital of Shenzhen University, Shenzhen, China.…”

“…The incidence of hip fractures also increases with age. For elderly patients with hip fractures, surgery is the preferred treatment option, and the choice of an intramedullary nail or hip replacement depends on the type of fracture [3][4][5]. The mortality rate for patients with hip fractures remains as high as 17-27% within 1 year after surgery and more than 40% at 5 years postoperatively, despite ongoing advancements in medical care [6].…”

The influence of operation time for hip hemiarthroplasty on complication rates and mortality in patients with femoral neck fracture: a retrospective data analysis

“…Hip fractures are very common in older people [ 1 , 2 ]. About 90% of hip fractures occur in people over the age of 65 [ 1 , 2 ].…”

“…Hip fractures are very common in older people [ 1 , 2 ]. About 90% of hip fractures occur in people over the age of 65 [ 1 , 2 ]. Patient mortality after a hip fracture ranges from 10% in the first month to 30% in the first year [ 1 , 2 ].…”

“…About 90% of hip fractures occur in people over the age of 65 [ 1 , 2 ]. Patient mortality after a hip fracture ranges from 10% in the first month to 30% in the first year [ 1 , 2 ]. Femoral neck fractures in elderly patients are often treated with either total hip arthroplasty (THA) or hip hemiarthroplasty (HHA), as this type of surgical treatment has lower complication rates and better functional outcomes compared with head preservation surgery [ 3 ].…”