The role of lateral wall reconstruction in improving surgical outcomes for intertrochanteric femur fractures.

ABSTRACT:

Purpose

Intertrochanteric fractures are the most common type of proximal femur fractures, with lateral wall fractures occurring in approximately 33% of cases. This meta-analysis compared the effectiveness of intramedullary fixation methods, specifically the proximal femoral nail (PFN) and the proximal femoral nail anti-rotation (PFNA), to other treatment options.

Methods

A systematic review was conducted using PubMed, Scopus, Web of Science and Embase, following PRISMA guidelines. We included clinical trials on intertrochanteric femur fractures with lateral wall involvement. Random effects models were used to analyze mean differences across treatment methods, with statistical evaluations including I², Cochran's Q, sensitivity analyses, and Egger's test. Additionally,

SUBMITTER: Bordbar S 

PROVIDER: S-EPMC12287866 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature