CT analysis of femoral malrotation after intramedullary nailing of trochanteric fractures
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F22%3A43921422" target="_blank" >RIV/00064173:_____/22:43921422 - isvavai.cz</a>
Alternative codes found
RIV/00216208:11120/22:43921422 RIV/00216208:11140/22:10427197
Result on the web
<a href="https://doi.org/10.1007/s00402-021-03902-3" target="_blank" >https://doi.org/10.1007/s00402-021-03902-3</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00402-021-03902-3" target="_blank" >10.1007/s00402-021-03902-3</a>
Alternative languages
Result language
angličtina
Original language name
CT analysis of femoral malrotation after intramedullary nailing of trochanteric fractures
Original language description
PURPOSE: Functional results after internal fixation of trochanteric femoral fractures may be negatively affected by healing in a non-physiological position. The aim of this study was to evaluate the occurrence and severity of femoral malrotation after nailing of trochanteric fractures. MATERIALS AND METHODS: The authors conducted a prospective study focused on a CT analysis of malrotation after intramedullary nailing of trochanteric fractures (AO 31A1-3) in 101 patients. We recorded the type of fracture, method of anesthesia, scheduled surgery vs. acute surgery, and the surgeon's experience as possible risk factors for limb malrotation after trochanteric fracture surgeries. RESULTS: The average extent of malrotation was 9o of internal rotation ranging from 29o of external to 48oof internal rotation. In 35% of patients, we observed a rotation greater than 15o, and in 15 patients (15%), the rotation was greater than 25o. The risk of significant internal malrotation was significantly higher than external malrotation (37 vs. 4 patients). None of the factors observed proved to be statistically significant. The effect of general anesthesia and the type of intertrochanteric fracture came closest to having a significant effect on rotational error. CONCLUSION: Improper reduction of a trochanteric fracture is a common problem that can lead to femur malrotation. In our study, a rotational error greater than 15o occurred in 35% of the patients, but none of the monitored factors represented a statistically significant risk for this complication.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30211 - Orthopaedics
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2022
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Archives of Orthopaedic and Trauma Surgery
ISSN
0936-8051
e-ISSN
1434-3916
Volume of the periodical
142
Issue of the periodical within the volume
8
Country of publishing house
DE - GERMANY
Number of pages
7
Pages from-to
1865-1871
UT code for WoS article
000642026300001
EID of the result in the Scopus database
2-s2.0-85105008457