2013
DOI: 10.1007/s11999-013-2834-9
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Unstable Intertrochanteric Femur Fractures: Is There a Consensus on Definition and Treatment in Germany?

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Cited by 90 publications
(86 citation statements)
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“…The initial survey often confirms a need for future randomized studies, with the goal of practice standardization. Response rates vary widely in orthopaedic questionnaire studies and range from 15% to 72.7% for online surveys [4,5,18,20,25,31,35,37,55,56]. While this method is valuable in reaching a large population, relatively low response rates similar to ours are common in the orthopaedic literature in general [5,18,25,31,37,56] and specifically in the same population polled in our study [25,31].…”
Section: Discussionmentioning
confidence: 57%
“…The initial survey often confirms a need for future randomized studies, with the goal of practice standardization. Response rates vary widely in orthopaedic questionnaire studies and range from 15% to 72.7% for online surveys [4,5,18,20,25,31,35,37,55,56]. While this method is valuable in reaching a large population, relatively low response rates similar to ours are common in the orthopaedic literature in general [5,18,25,31,37,56] and specifically in the same population polled in our study [25,31].…”
Section: Discussionmentioning
confidence: 57%
“…Our survey did not detail particular fracture patterns or provide radiographs when querying surgeons about implant choice. Although a previous study polling surgeons showed there is no standard classification system that is used to define stable versus unstable fractures and no widely accepted treatment algorithm [20], we recognize that fracture pattern is an important consideration to many surgeons when they are selecting an implant and that the cephalomedullary nail can be used for certain fracture patterns (reverse obliquity, lateral wall involvement, subtrochanteric extension) where a sliding hip screw cannot be used. We addressed this by including the answer choice ''depends on fracture pattern'' in our questions regarding the rationale for treatment strategies.…”
Section: Resultsmentioning
confidence: 95%
“…The percentages of respondents who use primarily (A) sliding hip screws, (B) cephalomedullary nails, and (C) sliding hip screws and cephalomedullary nails equally in training versus in current practice are presented. [4,14,20], could introduce responder bias. Our data may not be generalizable to the entire practicing population in the country; however, the survey does reflect the current treatment practices and perceptions of nearly 4000 surgeons.…”
Section: Resultsmentioning
confidence: 99%
“…To prevent medialization of shaft trochanteric stabilization plate [14,15] was introduced for the treatment of unstable intertrochanteric fractures. Unstable trochanteric fractures include fractures with broken greater trochanter, breached lateral cortex, lesser trochanter fracture and medial communition [16] . Treatment of these unstable fracture due to mechanical complication range from 0% to 20% [16] .…”
Section: Resultsmentioning
confidence: 99%