Lessons learned from biomechanical studies on cephalomedullary nails for the management of intertrochanteric fractures. A scoping review.
Jorge MayorVera BirgelJan-Dierk ClausenGökmen AktasStephan SehmischAnn-Kathrin EinfeldtVasilis GiannoudisAhmed H K AbdelaalEmmanouil LiodakisPublished in: Injury (2023)
This scoping review highlights the need for standardization in biomechanical studies on intertrochanteric fractures to ensure reliable and comparable results. Strategies such as avoiding varus, maintaining a sufficient tip-apex-distance, cement augmentation, and optimizing lesser trochanteric osteosynthesis enhance construct stability. Synthetic alternatives may offer advantages over cadaveric bone. Further research and meta-analyses are required to establish standardized protocols and enhance reliability.