Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail

The purpose of this study is to investigate the risk factors for wedge effect and its relevance between blade cut-out in patients with intertrochanteric fractures (ITF) treated with proximal femoral nail antirotation II (PFNA-II). A total of 113 patients with ITF treated with PFNA-II between 2012 an...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Shen-Ho Yen, Cheng-Chang Lu, Cheng-Jung Ho, Hsuan-Ti Huang, Hung-Pin Tu, Je-Ken Chang, Chung-Hwan Chen, Sung-Yen Lin
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cut-out femoral offset intertrochanteric fracture neck-shaft angle wedge effect Medicine R
Acceso en línea:	https://doaj.org/article/e25f73c9622a40ea9e5e7e5971d1d8e3
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:e25f73c9622a40ea9e5e7e5971d1d8e3
record_format	dspace
spelling	oai:doaj.org-article:e25f73c9622a40ea9e5e7e5971d1d8e32021-11-11T17:43:58ZImpact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail10.3390/jcm102151122077-0383https://doaj.org/article/e25f73c9622a40ea9e5e7e5971d1d8e32021-10-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/21/5112https://doaj.org/toc/2077-0383The purpose of this study is to investigate the risk factors for wedge effect and its relevance between blade cut-out in patients with intertrochanteric fractures (ITF) treated with proximal femoral nail antirotation II (PFNA-II). A total of 113 patients with ITF treated with PFNA-II between 2012 and 2016 were retrospectively analyzed. Radiographic variables including preoperative fracture pattern, fracture classification, lateral wall fracture, and postoperative neck–shaft angle (NSA), femoral offset (FO), blade cut-out, and Parker’s ratio were measured for analysis. An average of 4.16° of varus malalignment in NSA and 5.5 mm of femoral shaft lateralization in FO was found post-operatively. The presence of lateral wall fracture was significantly related to post-operative varus change of NSA (<i>p</i> < 0.05). After at least one year of follow up, the blade cut-out rate was 2.65% (3/113), and Parker’s ratio was significantly higher in patients with blade cut-out (<i>p</i> = 0.0118). This study concluded that patients with ITF-present preoperative lateral wall fracture and postoperative higher Parker’s ratio in AP radiography showed higher incidence of wedge effect that might increase risk of blade cut out.Shen-Ho YenCheng-Chang LuCheng-Jung HoHsuan-Ti HuangHung-Pin TuJe-Ken ChangChung-Hwan ChenSung-Yen LinMDPI AGarticlecut-outfemoral offsetintertrochanteric fractureneck-shaft anglewedge effectMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5112, p 5112 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cut-out femoral offset intertrochanteric fracture neck-shaft angle wedge effect Medicine R
spellingShingle	cut-out femoral offset intertrochanteric fracture neck-shaft angle wedge effect Medicine R Shen-Ho Yen Cheng-Chang Lu Cheng-Jung Ho Hsuan-Ti Huang Hung-Pin Tu Je-Ken Chang Chung-Hwan Chen Sung-Yen Lin Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail
description	The purpose of this study is to investigate the risk factors for wedge effect and its relevance between blade cut-out in patients with intertrochanteric fractures (ITF) treated with proximal femoral nail antirotation II (PFNA-II). A total of 113 patients with ITF treated with PFNA-II between 2012 and 2016 were retrospectively analyzed. Radiographic variables including preoperative fracture pattern, fracture classification, lateral wall fracture, and postoperative neck–shaft angle (NSA), femoral offset (FO), blade cut-out, and Parker’s ratio were measured for analysis. An average of 4.16° of varus malalignment in NSA and 5.5 mm of femoral shaft lateralization in FO was found post-operatively. The presence of lateral wall fracture was significantly related to post-operative varus change of NSA (<i>p</i> < 0.05). After at least one year of follow up, the blade cut-out rate was 2.65% (3/113), and Parker’s ratio was significantly higher in patients with blade cut-out (<i>p</i> = 0.0118). This study concluded that patients with ITF-present preoperative lateral wall fracture and postoperative higher Parker’s ratio in AP radiography showed higher incidence of wedge effect that might increase risk of blade cut out.
format	article
author	Shen-Ho Yen Cheng-Chang Lu Cheng-Jung Ho Hsuan-Ti Huang Hung-Pin Tu Je-Ken Chang Chung-Hwan Chen Sung-Yen Lin
author_facet	Shen-Ho Yen Cheng-Chang Lu Cheng-Jung Ho Hsuan-Ti Huang Hung-Pin Tu Je-Ken Chang Chung-Hwan Chen Sung-Yen Lin
author_sort	Shen-Ho Yen
title	Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail
title_short	Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail
title_full	Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail
title_fullStr	Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail
title_full_unstemmed	Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail
title_sort	impact of wedge effect on outcomes of intertrochanteric fractures treated with intramedullary proximal femoral nail
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e25f73c9622a40ea9e5e7e5971d1d8e3
work_keys_str_mv	AT shenhoyen impactofwedgeeffectonoutcomesofintertrochantericfracturestreatedwithintramedullaryproximalfemoralnail AT chengchanglu impactofwedgeeffectonoutcomesofintertrochantericfracturestreatedwithintramedullaryproximalfemoralnail AT chengjungho impactofwedgeeffectonoutcomesofintertrochantericfracturestreatedwithintramedullaryproximalfemoralnail AT hsuantihuang impactofwedgeeffectonoutcomesofintertrochantericfracturestreatedwithintramedullaryproximalfemoralnail AT hungpintu impactofwedgeeffectonoutcomesofintertrochantericfracturestreatedwithintramedullaryproximalfemoralnail AT jekenchang impactofwedgeeffectonoutcomesofintertrochantericfracturestreatedwithintramedullaryproximalfemoralnail AT chunghwanchen impactofwedgeeffectonoutcomesofintertrochantericfracturestreatedwithintramedullaryproximalfemoralnail AT sungyenlin impactofwedgeeffectonoutcomesofintertrochantericfracturestreatedwithintramedullaryproximalfemoralnail
_version_	1718432031463964672

Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail

Ejemplares similares