Abstract
Anterior Lag Screw Position and Suboptimal Reduction in Lateral Plain as Predictors of Failure in Cephalomedullary Nailing of Intertrochanteric Fractures
Highlights
Despite implant evolution and improvements in the surgical techniques, the fixation failure of proximal femur fracture remains high
Failed osteosynthesis of the proximal femur has a great impact on morbimortality, especially in elderly patients after hip fracture
Failed osteosynthesis of the proximal femur has a great impact on morbimortality, especially in elderly patients after a hip fracture, reported between 11% to 24 % in the first year after surgery [1, 2]
Summary
Despite implant evolution and improvements in the surgical techniques, the fixation failure of proximal femur fracture remains high. Failed osteosynthesis of the proximal femur has a great impact on morbimortality, especially in elderly patients after a hip fracture, reported between 11% to 24 % in the first year after surgery [1, 2]. Cephalomedullary nails (CMN) are increasingly becoming the implants of choice to treat intertrochanteric fractures [2, 3]. Though much has been published regarding predictors of failure of extramedullary implants, [4,5,6,7] nail failure has not been extensively studied [8,9,10,11]. Failed osteosynthesis of the proximal femur has a great impact on morbimortality, especially in elderly patients after hip fracture. The purpose of this study was to identify the variables associated with failure in intertrochanteric fractures treated with cephalomedullary nails
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