Medial cortical reduction does not influence outcomes in geriatric intertrochanteric femur fractures treated with proximal femoral nail

Table 1 Group-wise demographic and operative data, n (%)/mean ± SD

Characteristics	Positive MCR (n = 16)	Neutral MCR (n = 22)	Negative MCR (n = 9)	P value
Age (years)	64.3 ± 3.2	67.7 ± 4.2	65.4 ± 3.6	0.876
Male/Female	10/6	17/5	8/1	0.432
Fracture type
31A1	5 (31.2)	7 (31.8)	0 (0.0)	0.032
31A2	11 (68.7)	15 (68.1)	9 (100)
ASA types
I	4 (25.0)	7 (31.8)	3 (33.3)	0.543
II	12 (75.0)	15 (68.1)	6 (66.6)
Diabetes mellitus	7 (43.7)	9 (40.9)	5 (55.5)	0.761
Ischemic heart disease	4 (25.0)	5 (22.7)	3 (33.3)	0.876

MCR: Medial cortical reduction; ASA: American Society of Anesthesiologists.

Table 2 Clinical and radiological outcomes across the three groups analyzed, mean ± SD

Outcomes	Positive MCR (n = 16)	Neutral MCR (n = 22)	Negative MCR (n = 9)	P value
Femur neck length (cm)
Initial post op	9.08 ± 1.2	8.93 ± 0.9	8.8 ± 1.1	0.765
6 weeks post op	8.62 ± 1.1	8.46 ± 1.5	8.23 ± 1.2	0.865
3 months post op	8.42 ± 0.9	8.22 ± 1.3	8.05 ± 0.9	0.893
6 months post op	8.39 ± 1.2	7.98 ± 1.1	7.95 ± 1.3	0.792
6months, initial post op (mm)	7.9 ± 1.1	9.5 ± 0.8	8.5 ± 0.9	0.118
Femur shaft angle (degrees)
Initial post op	141.38 ± 9.8	139.50 ± 7.3	138.00 ± 11.2	0.545
6 weeks post op	137.00 ± 7.2	135.30 ± 9.2	134.11 ± 9.7	0.754
3 months post op	134.87 ± 9.4	132.78 ± 8.6	131.89 ± 10.4	0.634
6 months post op	133.08 ± 10.2	131.06 ± 11.2	130.13 ± 9.8	0.549
6months, initial post op	8.37 ± 0.7	8.42 ± 0.8	7.87 ± 0.9	0.312
Clinical outcomes
Timeto full weight bearing (weeks)	4.63 ± 1.2	4.77 ± 1.4	4.56 ± 1.3	0.786
Modified Harris Hip score	70.44 ± 11.4	67.55 ± 9.7	67.89 ± 10.2	0.883

MCR: Medial cortical reduction.