Advantages of Distal Unlocked Proximal Femoral Nails in the Treatment of Stable Intertrochanteric Fractures in Geriatric Patients: A Single-Center Comparative Randomized Study

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dc.authoridErsen, Omer/0000-0001-7351-6305
dc.authoridSaglam, Sonmez/0000-0003-2651-8003;
dc.contributor.authorSaglam, Sonmez
dc.contributor.authorErsen, Omer
dc.contributor.authorTuzun, Harun Yasin
dc.contributor.authorYildiz, Cemil
dc.date.accessioned2025-10-11T20:48:10Z
dc.date.available2025-10-11T20:48:10Z
dc.date.issued2025
dc.departmentDüzce Üniversitesien_US
dc.description.abstractBackground: This study aimed to investigate the effect of omitting a distal locking screw in intramedullary nailing of stable intertrochanteric femur fractures on clinical outcomes. Methods: Ninety-six patients over 65 years old with stable pertrochanteric fractures (AO/OTA 31-A1 and A2) treated with short/intermediate proximal femoral nails (PFNA-II) were randomly assigned into two groups: Group 1 (distal locked) and Group 2 (distal unlocked). Comparative analyses were conducted on operative time, total fluoroscopy time, blood loss, incision length, complications, and functional outcomes. Results: The mean operative time was significantly shorter in Group 2 (35.73 +/- 7.62 minutes) compared to Group 1 (47.40 +/- 9.96 minutes) (P < 0.001). Fluoroscopy time was also shorter in Group 2 (45.92 +/- 6.08 seconds) compared to Group 1 (54.02 +/- 5.94 seconds) (P < 0.001). Incision length was reduced in Group 2 (9.21 +/- 1.41 centimeters) compared to Group 1 (12.96 +/- 1.68 centimeters) (P < 0.001). Blood loss was lower in Group 2 (187.50 +/- 32.00 milliliters) than in Group 1 (208.65 +/- 49.12 milliliters) (P < 0.05). There were no significant differences between the groups in fracture union time, hospital stay, fracture union weeks, or postoperative blood transfusion rates. Conclusions: Proximal femoral nailing without distal locking offers shorter operative times, reduced fluoroscopy exposure, and lower blood loss and complications, making it a viable option for treating stable intertrochanteric fractures.en_US
dc.identifier.doi10.1177/21514593251327910
dc.identifier.issn2151-4585
dc.identifier.issn2151-4593
dc.identifier.pmid40160433en_US
dc.identifier.scopus2-s2.0-105002259341en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1177/21514593251327910
dc.identifier.urihttps://hdl.handle.net/20.500.12684/21768
dc.identifier.volume16en_US
dc.identifier.wosWOS:001455966100001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSage Publications Incen_US
dc.relation.ispartofGeriatric Orthopaedic Surgery & Rehabilitationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKA_WOS_20250911
dc.subjectintertrochanteric fracturesen_US
dc.subjectintramedullary nailen_US
dc.subjectdistal lockingen_US
dc.subjectdistal unlockingen_US
dc.subjectcomplicationsen_US
dc.titleAdvantages of Distal Unlocked Proximal Femoral Nails in the Treatment of Stable Intertrochanteric Fractures in Geriatric Patients: A Single-Center Comparative Randomized Studyen_US
dc.typeArticleen_US

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