Letter to the Editor
Copyright ©The Author(s) 2024.
World J Orthop. Oct 18, 2024; 15(10): 997-1000
Published online Oct 18, 2024. doi: 10.5312/wjo.v15.i10.997
Table 1 Factors affecting the outcome of surgical fixation of an intertrochanteric fracture
Factors
Specific content
Patient-related factorsAge, sex, comorbidities, fracture pattern and comminution, intactness of lateral wall, bone quality, osteoporosis
Surgery-related factorsReduction quality of the fracture, placement and selection of fixation devices, tip-apex distance
Postoperative managementProtective hip joint functional rehabilitation and anti-osteoporosis treatment
Table 2 Advantages and disadvantages of nailing fixation vs primary arthroplasty for an intertrochanteric fracture

Operative time
Blood loss
Postoperative bedridden time
Re-operative rate
Long-term effect
Applicability preference
Nailing fixationShorterLessLongerComparableComparable or superiorYounger patients with lower-grade fracture pattern, good bone quality, fewer comorbidities, higher functional demands, and longer life expectancy
Primary arthroplastyLongerMoreShorterComparableComparableElderly patients with higher-grade fracture pattern, poor bone quality, more comorbidities, lower functional demands, and shorter life expectancy