What is the importance of distal nail diameter in the treatment of intertrochanteric femur fractures?

dc.authoridAltun, Arif Ozan/0000-0002-0901-5247
dc.authoridKekec, Halil/0000-0001-5813-0041
dc.authoridErgisi, Yilmaz/0000-0003-2456-6802
dc.authoridKorkmazer, Selcuk/0000-0002-4720-9106
dc.authoridOzdemir, Erdi/0000-0002-3147-9355
dc.contributor.authorErgisi, Yilmaz
dc.contributor.authoroezdemir, Erdi
dc.contributor.authorKorkmazer, Selcuk
dc.contributor.authorKekec, Halil
dc.contributor.authorAltun, Ozan
dc.contributor.authorYalcin, Nadir
dc.date.accessioned2024-09-29T16:09:46Z
dc.date.available2024-09-29T16:09:46Z
dc.date.issued2022
dc.departmentKarabük Üniversitesien_US
dc.description.abstractObjectives: The aim of this study was to investigate the effect of distal nail diameter in the treatment of geriatric intertrochanteric femur fractures (ITFFs).Patients and methods: Between January 2017 and January 2021, a total of 91 patients (34 males, 57 females; mean age: 80.6 +/- 7.8 years; range, 65 to 96 years) who had osteosynthesis due to an ITFF with a short cephalomedullary nail (CMN) were retrospectively analyzed. The patients were divided into two groups: Group 1 (n=18) included patients with a distal nail diameter of <= 10 mm and Group 2 (n=73) included patients with a distal nail diameter of >10 mm. Patients' age, sex, fracture type according to AO classification, intramedullary femoral canal diameter, canal fit ratio, operation duration, reduction quality, the distal diameter of the CMN, and complications were evaluated.Results: There was no statistically significant difference between Group 1 and Group 2 in terms of the mean age, sex, fracture type, mean intramedullary canal diameter, reduction quality, and implant failure (p>0.05). The mean operation duration was significantly shorter in Group 2 (112.9 +/- 39.9 min) compared to Group 1 (128.8 +/- 36.4 min) (p=0.048). A total of three intraoperative peri-implant fractures occurred which included one 9 mm nail, one 12 mm nail, and one 14 mm nail.Conclusion: Our study results suggest that there is no advantage of using a >10-mm CMN in the treatment of geriatric ITFFs in terms of reducing the implant failure rate. However, the utility of a >10-mm CMN can reduce the operation duration.en_US
dc.identifier.doi10.52312/jdrs.2022.850
dc.identifier.endpage644en_US
dc.identifier.issn2687-4792
dc.identifier.issue3en_US
dc.identifier.pmid36345193en_US
dc.identifier.scopus2-s2.0-85141790133en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage639en_US
dc.identifier.trdizinid1176344en_US
dc.identifier.urihttps://doi.org/10.52312/jdrs.2022.850
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1176344
dc.identifier.urihttps://hdl.handle.net/20.500.14619/7761
dc.identifier.volume33en_US
dc.identifier.wosWOS:000887248500019en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Joint Diseases Foundationen_US
dc.relation.ispartofJoint Diseases and Related Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCephalomedullary nailen_US
dc.subjectfemuren_US
dc.subjecthip fractureen_US
dc.subjectimplant failureen_US
dc.subjectnail sizeen_US
dc.titleWhat is the importance of distal nail diameter in the treatment of intertrochanteric femur fractures?en_US
dc.typeArticleen_US

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