Subtrochanteric femoral fractures and intramedullary nailing complications: a comparison of two implants.
Michalis PanteliJames S H VunRobert M WestAnthony HowardIppokratis PountosPeter V GiannoudisPublished in: Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology (2022)
We reported a 22.3% re-operation rate in our cohort of subtrochanteric fractures treated with a long IM nail. We have identified six risk factors associated with re-operation: age < 75 years old, pre-injury femoral neck shaft angle, choice of nail, varus reduction angle, fracture-related infection and non-union. The addition of a proximal anti-rotation screw in the Affixus nail did not confer any benefit.