EP9.2 Early Radiological Outcomes of Anterior Mini-Open versus Closed Reduction in Proximal Femoral Nailing

Clicks: 10
ID: 331343
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #326 of 444 articles by views in Journal of hip preservation surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 444 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Introduction Cephalomedullary nailing is standard for intertrochanteric femoral fractures, yet complications like varus collapse and implant failure persist. Achieving precise Anteromedial Cortical Support (AMCS) is critical for fracture stability. Because routine closed reduction may fail to establish complete anatomical cortical contact despite appearing acceptable , this study compares the efficacy and safety of AMCS achieved via a mini-open anterior Smith-Petersen approach versus conventional closed reduction. Methods This retrospective clinical study, conducted at Koç University School of Medicine, evaluated 38 patients who underwent proximal femoral nailing for osteoporotic intertrochanteric fractures. Subjects were divided into a "Mini-Open Reduction" group (n=12) and a "Closed Reduction" group (n=26). In order to minimize selection bias and enhance comparability, patients were matched at an 1:2 ratio based on age, gender, and fracture classification. Patients lacking a minimum 3-month follow-up or presenting with pathological, intracapsular, or shaft fractures were excluded. Radiological reduction quality outcomes were statistically compared using outpatient records and pre- and postoperative radiographs. Results The cohort comprised 38 patients (31 females, 7 males) with a mean age of 81.5 ± 8.5 years. Fracture laterality was left in 23 (60.5%) and right in 15 (39.5%) patients. Although the mini-open group demonstrated better mean values for reduction criteria, no statistically significant differences were observed between the techniques. Medial cortical support on anteroposterior (3.2 ± 3.1 vs 4.2 ± 4.2; p=.354) and lateral views (3.8 ± 2.9 vs 6.2 ± 5.7; p=.211) showed no significant difference. Fluoroscopy times (43.1 ± 13.1 vs 45.2 ± 17.8 min; p=.633), postoperative varus malalignment (-7.3° ± 12.7° vs -3.8° ± 8.2°; p=.464), varus angle increase at three months (4.2° ± 3.1° vs 7.2° ± 6.1°; p=.247), and Baumgaertner criteria scores (p=.52) were statistically comparable. Conclusion The mini-open approach demonstrates a favorable clinical trend toward precise anatomical reduction; nevertheless, both techniques provide statistically equivalent radiological stability and outcomes in proximal femoral nailing.
Reference Key
openalex_W7220444899 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Ata Cem Akbaba, Aytek Hüseyin Çeliksöz, Emrah Çalışkan, İlker Eren, Mehmet Ali Deveci̇
Are you one of these authors? Claim your profile
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.483
URL
https://doi.org/10.1093/jhps/hnag043.483
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.