Timing of proximal femoral shortening in the early postoperative period after cephalomedullary nailing of hip fractures.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 32372851.
- Also identified by DOI 10.1016/j.jor.2020.04.002 and PMC identifier 7191315.
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Abstract
Examine the timing of proximal femoral shortening (PFS) after cephalomedullary nailing of hip fractures. A retrospective cohort study of 21 patients ≥50 years old with pertrochanteric hip fractures treated with a short cephalomedullary nail (CMN) was performed. Abductor lever arm shortening, femoral height shortening, and PFS were measured. Mean PFS at 10-21 days postoperatively was 5.54 mm, compared to 11.31 mm at final follow-up. The percentage of total PFS that occurred within 10-21 days postoperatively was 53.9%. Approximately half of total PFS occurs within 1.5-3 weeks and is notable on radiographs by the first postoperative visit.
Anatomy
- femur
- hip