☆ 4.4 Review

Lessons learned from biomechanical studies on cephalomedullary nails for the management of intertrochanteric fractures. A scoping review

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED (2024)

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Summary: Fixation of pertrochanteric femur fractures with cephalomedullary nails has become popular, with complications including secondary fractures around the nail tip or interlocking screw holes. A biomechanical study comparing short and long nails found no significant differences in stability or secondary fracture patterns. Fracture risk after fixation is similar regardless of nail length, and fractures may occur in various locations besides the distal locking screw hole.

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Intramedullary nailing confers an increased risk of medial migration compared to dynamic hip screw fixation in unstable intertrochanteric hip fractures

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