{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T12:14:30Z","timestamp":1791980070148,"version":"4.4.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012921","name":"Royal College of Surgeons in Ireland","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012921","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>Intramedullary (IM) femoral nailing in the form of cephalomedullary (CM) nailing is a common treatment of intertrochanteric femoral fractures.\u00a0Previous literature has demonstrated\u00a0higher revision rates of left intertrochanteric fractures. Helical blade constructs offer a theoretical advantage over a screw design.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>The objective of this study is to examine 3\u00a0year revision rates\u00a0for right vs left CM nails with helical blade head screw. No current studies exist which compare revision rates in left versus right IM nails over this defined time period.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Study design and methods<\/jats:title>\n            <jats:p>Patients who sustained intertrochanteric femoral\u00a0fracture\u00a0subsequently treated by CM nailing between July 2021 and December 2022\u00a0were retrospectively\u00a0identified\u00a0from a database of orthopaedic patients.\u00a0Patients\u00a0were stratified based on left-sided or right-sided fracture.\u00a0Criteria for inclusion were\u00a0anterograde\u00a0femoral nails, performed for Intertrochanteric hip fractures. Exclusion criteria\u00a0included revision nails, retrograde nails, diaphyseal\u00a0and\u00a0subtrochanteric fractures, reverse oblique fracture patterns\u00a0and\u00a0prophylactic nails.\u00a0The primary outcome was 3\u00a0year revision rate. Relevant frequency statistics were generated for each cohort with odds ratios comparing revision rates between the two groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>n\u2009=\u2009104\u00a0patients were included in the final sample, comprising n\u2009=\u200948 left and n\u2009=\u200956 right sided intertrochanteric fractures who underwent CM nailing. n\u2009=\u20094 (3.8%) TFNAs underwent subsequent surgical revision. Incidence of revision was higher in patients undergoing left IM nailing\u00a0Left: 3\/48, 0.063, Right: 1\/56, 0.018, Odds Ratio: 3.667, 95% Confidence Interval: 0.37 \u2013 36.47, p\u2009=\u20090.268).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>A greater proportion of patients who sustained a\u00a0left sided intertrochanteric fracture and were surgically treated with CM nailing underwent revision surgery within 3\u00a0years of initial surgery compared to right sided CM nails.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11845-025-04000-8","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T09:31:36Z","timestamp":1752139896000},"page":"1335-1337","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["3-year revision rates of left vs right cephalomedullary nails with a helical blade design"],"prefix":"10.1007","volume":"194","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-9608-6211","authenticated-orcid":false,"given":"Linda","family":"Kelly","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren","family":"Moloney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denis","family":"Collins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"issue":"1","key":"4000_CR1","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1302\/0301-620X.106B1.BJJ-2023-0740.R1","volume":"106","author":"E Harris","year":"2024","unstructured":"Harris E, Clement N, MacLullich A, Farrow L (2024) The impact of an ageing population on future increases in hip fracture burden: insights from the Scottish Hip Fracture Audit. 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Use of TRUMATCH\u00ae titanium 3D printed guides, plates, and implants for complex mandible fractures. [Google Scholar]"},{"key":"4000_CR5","unstructured":"Gu A, Doe K, Bracey L, Agarwal A, Raffa T, Farley B, Fraychinaud T, Knapp B, Tabaie S, Debritz J, Sterling R (2022) Increased 1-year revision rates among left-sided intertrochanteric femur fractures.\u00a0J Orthop Trauma 1000\u20131097"},{"issue":"3","key":"4000_CR6","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1302\/0301-620X.97B3.35077","volume":"97","author":"D Van Embden","year":"2015","unstructured":"Van Embden D, Stollenwerck GL, Koster L et al (2015) The stability of fixation of proximal femoral fractures: a radiostereometric analysis. The Bone & Joint Journal 97(3):391\u2013397","journal-title":"The Bone & Joint Journal"},{"key":"4000_CR7","unstructured":"IBM Corp (2021) Released 2021. IBM SPSS statistics for windows, version 29.0. 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