• Arch Orthop Trauma Surg · Dec 2023

    Trochanteric fractures: Tip-Apex distance, Calcar Tip-Apex distance, and Chang criteria-a multiple variable analysis.

    • João Pedro Gomes Reis, António Lemos Lopes, Ricardo Jorge Branco, Rita Sapage, Rita Andreia Sousa, and Diogo Sousa.
    • Centro Hospitalar de Trás-os-Montes e Alto Douro, Vila Real, Portugal. Joao.p.reis.g@gmail.com.
    • Arch Orthop Trauma Surg. 2023 Dec 1; 143 (12): 703570417035-7041.

    AbstractFailure of osteosynthesis is a common complication of the nailing of trochanteric fractures which typically occurs through form of cut-out. Tip-Apex distance (TAD), Calcar Tip-Apex distance (CalTAD), and Chang criteria are validated variables to predict failure of cephalomedullary nailing. This is a retrospective study which analyzes treatment of trochanteric fractures from 2018 to 2020 (n = 296) evaluating postoperative radiographs and factors of mechanical failure. Our objective was to assess correlation among these variables and their influence on mechanical failure, either individually or creating a new score. Our results support the CalTAD and Chang's criteria as valid predictors of mechanical failure. Furthermore, they empathize the importance of fracture reduction and proper placement of cervical screw. To our knowledge, this is the first study performing multivariate analysis including these 3 variables.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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