![]() ![]() Patients treated with a reconstruction nail required a second surgical intervention in 23.5%, which was no different compared to 25.0% in the cephalomedullary group ( p = 0.893). Fixation failure occurred in 11.1% of patients with a neck-shaft-angle < 125° compared to 2.6% (4/155) of patients with a neck-shaft angle ≥125° ( p = 0.021). The femoral neck angle averaged 128.0° ± 5°. Current smokers had an increased nonunion risk compared to those who do not currently smoke (15.6% vs. Nonunion development was observed in 6% and 5% had an unscheduled reoperation due to implant or fixation failure. After the index procedure, 86% healed uneventfully. ResultsĬephalomedullary nails were utilized in 176 and reconstruction nails in 17 patients. The average age was 70 years (range 19–96 years). ![]() Of these, 193 patients (58.5% female) met the inclusion criteria. Methodsįrom one level 1 trauma center, 216 consecutive adult intertrochanteric femoral fractures (OTA/AO type 31 A3) were retrospectively identified with intramedullary nail fixation from 2004 through 2013. The purpose of this study is to evaluate intertrochanteric femoral fractures with intramedullary nail treatment in regard to surgical procedure, complications, and clinical outcomes. Intramedullary fixation using different types of nails is commonly preferred. The OTA/AO type 31 A3 intertrochanteric fracture has a transverse or reverse oblique fracture at the lesser trochanteric level, which accentuates the varus compressive stress in the region of the fracture and the implant.
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