Next Article in Journal
A Decade of Lymphoma-Associated Hemophagocytic Lymphohistiocytosis: Does the Outcome Improve?
Previous Article in Journal
Evolution of SARS-CoV-2-Neutralizing Antibodies after Two Standard Dose Vaccinations, Risk Factors for Non-Response and Effect of a Third Dose Booster Vaccination in Non-Responders on Hemodialysis: A Prospective Multi-Centre Cohort Study
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
JCM
Volume 10
Issue 21
10.3390/jcm10215112
jcm-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

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

by
Shen-Ho Yen
1,
Cheng-Chang Lu
1,2,3,4,5,
Cheng-Jung Ho
1,3,4,
Hsuan-Ti Huang
1,2,3,4,6,
Hung-Pin Tu
7,
Je-Ken Chang
1,2,3,4,6,
Chung-Hwan Chen
1,2,3,4,6 and
Sung-Yen Lin
1,2,3,4,6,*
1
Department of Orthopedics, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
2
Department of Orthopedics, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
3
Orthopaedic Research Center, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
4
Regeneration Medicine and Cell Therapy Research Center, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
5
Department of Orthopedics, Kaohsiung Municipal Siaogang Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
6
Department of Orthopedics, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung 80708, Taiwan
7
Department of Public Health and Environmental Medicine, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2021, 10(21), 5112; https://doi.org/10.3390/jcm10215112
Submission received: 19 August 2021 / Revised: 19 October 2021 / Accepted: 26 October 2021 / Published: 30 October 2021
(This article belongs to the Section Orthopedics)
Browse Figures
Review Reports Versions Notes

Abstract

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 (p < 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 (p = 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.
Keywords: cut-out; femoral offset; intertrochanteric fracture; neck-shaft angle; wedge effect cut-out; femoral offset; intertrochanteric fracture; neck-shaft angle; wedge effect

Share and Cite

MDPI and ACS Style

Yen, S.-H.; Lu, C.-C.; Ho, C.-J.; Huang, H.-T.; Tu, H.-P.; Chang, J.-K.; Chen, C.-H.; Lin, S.-Y. Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail. J. Clin. Med. 2021, 10, 5112. https://doi.org/10.3390/jcm10215112

AMA Style

Yen S-H, Lu C-C, Ho C-J, Huang H-T, Tu H-P, Chang J-K, Chen C-H, Lin S-Y. Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail. Journal of Clinical Medicine. 2021; 10(21):5112. https://doi.org/10.3390/jcm10215112

Chicago/Turabian Style

Yen, Shen-Ho, Cheng-Chang Lu, Cheng-Jung Ho, Hsuan-Ti Huang, Hung-Pin Tu, Je-Ken Chang, Chung-Hwan Chen, and Sung-Yen Lin. 2021. "Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail" Journal of Clinical Medicine 10, no. 21: 5112. https://doi.org/10.3390/jcm10215112

APA Style

Yen, S.-H., Lu, C.-C., Ho, C.-J., Huang, H.-T., Tu, H.-P., Chang, J.-K., Chen, C.-H., & Lin, S.-Y. (2021). Impact of Wedge Effect on Outcomes of Intertrochanteric Fractures Treated with Intramedullary Proximal Femoral Nail. Journal of Clinical Medicine, 10(21), 5112. https://doi.org/10.3390/jcm10215112

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop