Classification of femur trochanteric fracture: Evaluating the reliability of Tang classification.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declaration of Competing Interest The authors have no conflicts of interest to declare. 3. Cureus. 2023 Dec 21;15(12):e50877. doi: 10.7759/cureus.50877. eCollection 2023 Dec. Intertrochanteric Femoral Fractures: A Comparative Analysis of Clinical and Radiographic Outcomes Between Talon Intramedullary Nail and Intertan Nail. Kürüm H(1), Tosun HB(2), Aydemir F(3), Ayas O(4), Orhan K(5), Key S(6). Author information: (1)Orthopaedics and Traumatology Department, Ergani State Hospital, Ministry of Health, Diyarbakir, TUR. (2)Orthopaedics Department, Istanbul Medipol University, Istanbul, TUR. (3)Emergency Department, Elazığ Fethi Sekin Training and Research Hospital, Elazığ, TUR. (4)Orthopaedics and Traumatology Department, Elazığ Fethi Sekin Training and Research Hospital, Elazığ, TUR. (5)Physical Therapy and Rehabilitation Department, İnönü University Turgut Özal Medical Center, Malatya, TUR. (6)Orthopedics and Traumatology Department, Firat University Hospital, Firat University, Elazığ, TUR. Introduction Hip fractures in the elderly constitute a significant health concern, and their incidence is on the rise. It has been reported that intertrochanteric femoral fractures comprise a large portion of hip fractures, and they are especially prevalent among women. Over 75% of these types of fractures in the elderly occur as a result of simple falls. Surgical intervention must be performed for these fractures to expedite the healing process in patients. The application of a proximal femoral nail (PFN) is conducted using a minimally invasive technique after the fracture has been reduced using closed techniques. This technique maintains the fracture hematoma while minimizing the occurrence of consequences such as surgical trauma, hemorrhaging, infection, and issues with the wound site. This study aimed to assess the radiologic and functional outcomes among the groups following surgical procedures utilizing two distinct PFNs. Methods Between November 2021 and June 2023, a total of 96 individuals (38 males and 58 females) who underwent surgery for ITF using PFN were included in the study. Our surgical team utilized the Talon™ DistalFix™ PFN system (Orthopedic Designs North America Inc., FL, USA) and the Trigen InterTAN® nail (Smith & Nephew). Results The surgery time (number of scopes) for the Talon PFN was recorded as 25 (25-30), while it was 30 (30-35) in the InterTAN group (p