Effect of reduction quality on post-operative outcomes in 31-A2 intertrochanteric fractures following intramedullary fixation: a retrospective study based on computerised tomography findings

• DOI: 10.1007/s00264-018-4098-1
• Publication Date: 2018-08-16T13:40:44Z
• Authors: Jiantao Li; Licheng Zhang; Hao Zhang; Peng Yin; Mingxing Lei; Guoqi Wang; Song Wang; Peifu Tang
• Keywords: Aged, 80 and over; Male; Hip Fractures; Bone Nails; Middle Aged; Fracture Fixation, Intramedullary; Fracture Fixation, Internal; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Orignal Paper; Humans; Female; Femur; Tomography, X-Ray Computed; Aged; Retrospective Studies

To determine how the reduction of medial and anteromedial cortices using CT findings in 31-A2 intertrochanteric fractures treated with intramedullary nail could affect clinical outcomes complication rates fractures. We retrospectively analyzed data 43 patients who underwent closed internal fixation (CRIF) between January 2010 December 2013. Patients were classified into two groups based on post-operative scans taken from sagittal coronal planes, respectively. Five radiographic parameters three used to evaluate functional states mobilization levels this study. Post-operative complications also recorded. The mean loss femoral neck-shaft angle (FNSA) was significantly smaller Group C1 than that C2. There significant differences sliding distance cephalic head height groups. In terms conditions shown FNSA, nail, FHH different, although TCD not significant. (3.6%) S1 (0.0%) had lower compared C2 (26.7%) S2 (27.8%). good quality sustainable better rates. stability anti-rotational function these validated reductions might play a critical role maintaining fragment positions reducing incidence patients.