A Novel Interfragmentary Technique vs. A Conventional Posterolateral Approach for Unstable Femoral Intertrochanteric Fractures in the Elderly: A Retrospective Cohort Study
Abstract
1. Introduction
2. Methods
2.1. Study Design
2.2. Patients
2.3. Surgical Procedures
2.4. Physical Therapy
2.5. Outcomes
2.6. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | Interfragmentary Technique (n = 74) | Conventional Posterolateral Approach (n = 67) | ||||
---|---|---|---|---|---|---|
Mean ± SD | 95% CI | Mean ± SD | 95% CI | t | p | |
Age (year) | 80.37 ± 7.14 | 78.73–82.03 | 80.14 ± 6.07 | 78.67–81.63 | 0.204 | 0.838 |
Body mass index (kg/m2) | 25.76 ± 2.13 | 25.21–26.31 | 25.74 ± 2.34 | 25.17–26.31 | 0.057 | 0.955 |
n | % | n | % | χ2 | p | |
Gender | ||||||
Female | 47 | 63.5 | 48 | 71.6 | 1.057 | 0.304 |
Male | 27 | 36.5 | 19 | 28.4 | ||
Dominant Extremity | ||||||
Right | 70 | 94.6 | 64 | 95.5 | 0.064 | 0.800 |
Left | 4 | 5.4 | 3 | 4.5 | ||
Affected Extremity | ||||||
Dominant | 25 | 33.8 | 39 | 58.2 | 8.463 | 0.004 |
Nondominant | 49 | 66.2 | 28 | 41.8 |
Variables | Interfragmentary Technique (n = 74) | Conventional Posterolateral Approach (n = 67) | ||||
---|---|---|---|---|---|---|
Mean ± SD | 95% CI | Mean ± SD | 95% CI | t | p | |
Mean follow-up (years) | 4.15 ± 1.73 | 3.75–4.55 | 10.25 ± 2.03 | 9.76–10.76 | −18.601 | 0.001 |
Surgical duration (minutes) | 69.98 ± 6.94 | 68.38–71.59 | 69.55 ± 6.36 | 67.98–71.11 | 0.390 | 0.697 |
Length of stay (hours) | 66.97 ± 11.53 | 64.30–69.64 | 67.83 ± 12.43 | 64.78–70.89 | −0.347 | 0.729 |
n | % | n | % | χ2 | p | |
Dislocation | ||||||
Yes | 2 | 2.7 | 6 | 9 | 2.569 | 0.109 |
No | 72 | 97.3 | 61 | 91 | ||
Trochanteric nonunion | ||||||
Yes | 1 | 1.4 | 0 | 0 | 0.912 | 0.340 |
No | 73 | 98.6 | 67 | 100 | ||
Cause of revision other than dislocation | ||||||
Infection | 1 | 1.4 | 1 | 1.5 | 0.916 | 0.633 |
Periprosthetic fracture | 1 | 1.4 | 0 | 0 | ||
None | 72 | 97.2 | 66 | 98.5 |
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© 2025 by the authors. Published by MDPI on behalf of the Lithuanian University of Health Sciences. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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Zora, H.; Bayrak, G.; Bilgen, Ö.F. A Novel Interfragmentary Technique vs. A Conventional Posterolateral Approach for Unstable Femoral Intertrochanteric Fractures in the Elderly: A Retrospective Cohort Study. Medicina 2025, 61, 605. https://doi.org/10.3390/medicina61040605
Zora H, Bayrak G, Bilgen ÖF. A Novel Interfragmentary Technique vs. A Conventional Posterolateral Approach for Unstable Femoral Intertrochanteric Fractures in the Elderly: A Retrospective Cohort Study. Medicina. 2025; 61(4):605. https://doi.org/10.3390/medicina61040605
Chicago/Turabian StyleZora, Hakan, Gökhan Bayrak, and Ömer Faruk Bilgen. 2025. "A Novel Interfragmentary Technique vs. A Conventional Posterolateral Approach for Unstable Femoral Intertrochanteric Fractures in the Elderly: A Retrospective Cohort Study" Medicina 61, no. 4: 605. https://doi.org/10.3390/medicina61040605
APA StyleZora, H., Bayrak, G., & Bilgen, Ö. F. (2025). A Novel Interfragmentary Technique vs. A Conventional Posterolateral Approach for Unstable Femoral Intertrochanteric Fractures in the Elderly: A Retrospective Cohort Study. Medicina, 61(4), 605. https://doi.org/10.3390/medicina61040605