Evaluation of the Risk Factors for Mechanical Failure of Intertrochanteric Femoral Fracture Treated with Intramedullary Nailing

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dc.contributor.authorÖzdemir, Hacı Mustafa
dc.contributor.authorErinç, Samet
dc.date.accessioned2023-04-10T20:19:40Z
dc.date.available2023-04-10T20:19:40Z
dc.date.issued2021
dc.departmentRektörlük, Rektörlüğe Bağlı Birimler, Düzce Üniversitesi Dergilerien_US
dc.description.abstractAim: The aim of this study was to evaluate the radiological and clinical risk factors predisposing the proximal lag screw to mechanical failure in patients with pertrochanteric femur fractures treated with intramedullary nailing. Material and Methods: All intertrochanteric fracture cases were evaluated retrospectively and 298 patients (24 had mechanical failure) were included in this study. The patients were compared in terms of demographic data, Singh index, reduction quality according to the Baumgaertner scale, proximal lag screw position according to Cleveland-Bosworth quadrants and the Parker ratio, and the calcar femorale restoration and tip-apex distance. Results: There was no statistically significant difference in terms of gender (p=0.745), age (p=0.848), American Society of Anesthesiology scores (p=0.725), body mass index (p=0.648) and Singh index (p=0.119) between the two groups. There were statistically significant differences between the two groups in terms of the following variables; number of patients with unstable fracture (p<0.001), poor reduction quality (p<0.001), calcar femorale discontinuity (p<0.001), center-center/center-inferior lag screw position (p<0.001), and Parker ratio on the lateral view (p=0.002). The center-center/center-inferior lag screw position, good reduction quality and calcar femorale restoration were found to be parameters predicting superior outcomes according to logistic regression analyses. Conclusion: From the results of this study, it was concluded that although the preoperative reduction of the fracture and tip-apex distance are mandatory to prevent failure of the proximal lag screw, posteromedial discontinuity and lag screw position have a vital role in the treatment of interochanteric femur fracture fixed with intramedullary nailingen_US
dc.identifier.doi10.18678/dtfd.1004245
dc.identifier.endpage288en_US
dc.identifier.issn1307-671X
dc.identifier.issue3en_US
dc.identifier.startpage282en_US
dc.identifier.trdizinid495755en_US
dc.identifier.urihttp://doi.org/10.18678/dtfd.1004245
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/495755
dc.identifier.urihttps://hdl.handle.net/20.500.12684/11466
dc.identifier.volume23en_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.relation.ispartofDüzce Tıp Fakültesi Dergisi
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectintramedullary nailingen_US
dc.subjectIntertrochanteric fractureen_US
dc.subjectproximal femoral nailingen_US
dc.titleEvaluation of the Risk Factors for Mechanical Failure of Intertrochanteric Femoral Fracture Treated with Intramedullary Nailingen_US
dc.typeArticleen_US

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