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136341

Radiographic Risk Factors for Predicting Failure of Geriatric Intertrochanteric Fracture Treatment with Proximal Femoral Nail

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Last updated: 28 Dec 2024

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Abstract

The proximal femoral nail is the most common device used to treat unstable intertrochanteric fractures (ITFs) (AO/OTA 31-A2 and A3) in the geriatric population. However, there is lack of radiological parameter to evaluate the entry point; hence, this study reports a new radiological parameter to evaluate the entry point of the nail. Besides, other risk factors were also examined. The series included 20 cases treated with proximal femoral nail. Those patients were emulated dependent upon clinically What's more radiologically with pelvic anteroposterior Furthermore hip parallel perspectives during 4weeks ,8weeks, 3 months,6 months postoperatively. Demographic data, radiological parameters, and side-difference of the separation from those piriformis fossa of the more terrific trochanteric tubercle in the anteroposterior perspective (dPG) were compared the middle of the union Furthermore disappointment gatherings. Student's t test, χ 2 test, and different logistic relapse were utilized within those measurable analyses. Normal agdistis may be 63. The etiology of the fractures might have been 4 RTA patients (20%) Also 16 tumbling patients. The AO/OTA arrangement framework might have been utilized. There were 9 sort 31-A2 fractures (45%), this ponder exhibited that TAD>24mm , DPG>7mm expanded those danger about disappointment after nailing Previously, flimsy intertrochanteric fractures ,and it might have been An critical predictor from claiming disappointment. This recommended another radiological parameter, DPG will reflect the geometry of the more excellent trochanter following nailing , we discovered that expanded DPG will be connected with expanded danger from claiming disappointment. This ponder gives extra confirmation demonstrating that sex and tad have huge impacts on the results about flimsy ITFs following nailing. Moreover, the recently news person radiological parameter, dPG, could be used to anticipate those disappointment for ITFs approached utilizing proximal femoral nails.

DOI

10.21608/bjas.2020.136341

Keywords

Intertrochanteric fracture, Proximal femoral nail, geriatric

Authors

First Name

S.M.

Last Name

Zahid

MiddleName

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Affiliation

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

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Orcid

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First Name

M.M.

Last Name

Abou-Zied

MiddleName

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Affiliation

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

Email

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City

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Orcid

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First Name

M.S.

Last Name

Abo-mosalam

MiddleName

-

Affiliation

Orthopedic Surgery Dept., Faculty of Medicine, Benha Univ., Benha, Egypt

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City

-

Orcid

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Volume

5

Article Issue

Issue 4 part (2)

Related Issue

20280

Issue Date

2020-07-01

Receive Date

2020-01-06

Publish Date

2020-07-01

Page Start

239

Page End

246

Print ISSN

2356-9751

Online ISSN

2356-976X

Link

https://bjas.journals.ekb.eg/article_136341.html

Detail API

https://bjas.journals.ekb.eg/service?article_code=136341

Order

10

Type

Original Research Papers

Type Code

1,647

Publication Type

Journal

Publication Title

Benha Journal of Applied Sciences

Publication Link

https://bjas.journals.ekb.eg/

MainTitle

Radiographic Risk Factors for Predicting Failure of Geriatric Intertrochanteric Fracture Treatment with Proximal Femoral Nail

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Article

Created At

23 Jan 2023