Does the wedge wing in the neck screw prevent cut-out failure in OTA/AO 31-A2 trochanteric fractures in elderly patients?

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dc.authoridOken, Fuad O/0000-0002-3091-9697|YAVUZ, OSMAN/0000-0003-4141-2944;
dc.contributor.authorGunay, Cuneyd
dc.contributor.authorAtalar, Hakan
dc.contributor.authorAltay, Murat
dc.contributor.authorYavuz, Osman Yuksel
dc.contributor.authorYildirim, Ahmet Ozgur
dc.contributor.authorOken, Ozdamar Fuad
dc.date.accessioned2025-10-24T18:10:34Z
dc.date.available2025-10-24T18:10:34Z
dc.date.issued2014
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractThe purpose of this retrospective study was to evaluate the effects of Dyna Locking Trochanteric (DLT) nail (U & I Corporation 529-1, Yonghyun-dong, Uijungbu Kyunggi-Do, Korea 480-050) in 31-A1 and 31-A2 intertrochanteric femur fractures. Eighty-seven patients (63 female and 24 male, mean age 77 years) were treated. The mean duration of follow-up was 16.6 +/- 3.1 months (range, 12-24 months). There were 36 cases of 31-A1 and 51 cases of 31-A2 fractures. The duration of surgery, fluoroscopy screening time, the blood loss, the hospital stay, the tip-apex distance were significantly less in the 31-A1 fracture group compared with the 31-A2 fracture group (p < 0.001). Cut-out was observed in 13 patients (14.9%) above 80 years old with 31-A2 fractures. Especially in elderly patients with unstable 31-A2 fractures, the wedge wing on the neck screw does not work properly. Therefore further biomechanical investigations and also prospective clinical studies with larger series are needed to improve the device.
dc.identifier.endpage33
dc.identifier.issn0001-6462
dc.identifier.issue1
dc.identifier.pmid24873081
dc.identifier.startpage26
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4260
dc.identifier.volume80
dc.identifier.wosWOS:000335620900004
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherActa Medica Belgica
dc.relation.ispartofActa Orthopaedica Belgica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectIntertrochanteric fractures; Tip apex distance; Intramedullary nailing; Cutting out; Outcomes; Complication
dc.titleDoes the wedge wing in the neck screw prevent cut-out failure in OTA/AO 31-A2 trochanteric fractures in elderly patients?
dc.typeArticle

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