Comparison of mechanical and clinical outcomes between cement-augmented and conventional cephalomedullary nailing in osteoporotic trochanteric fractures: a propensity score-matched cohort study.

ABSTRACT:

Background

Trochanteric fractures in the older population are challenging to treat due to osteoporotic bone and high risk of fixation failure. Cement augmentation (CA) of cephalomedullary fixation has been proposed to enhance implant anchorage and reduce complications. This study compared mechanical failure rates and clinical outcomes between cement-augmented and conventional cephalomedullary nailing in osteoporotic trochanteric fractures.

Methods

We performed a retrospective comparative study of patients with trochanteric fractures treated with either a CA or non-CA cephalomedullary nail from February 2022 to July 2023. To minimize selection bias, 1:2 propensity score matching was applied to our initial 143 consecutive cases (28 CA, 115 non-CA), yielding 28 augmented and 56

SUBMITTER: Park JY 

PROVIDER: S-EPMC12570751 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature