{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:34:50Z","timestamp":1792802090025,"version":"4.5.0"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:sec>\n            <jats:title>Objective:<\/jats:title>\n            <jats:p>To compare the complication profile of femoral neck (FN) and intertrochanteric (IT) femur fractures in young patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>A retrospective database review.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Large, national private insurer claims database with longitudinal follow-up.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>Individuals undergoing surgical fixation of IT or FN fractures from 2010 to 2017 were identified. Patients were included if they were 18\u201350 years of age and had 1-year postoperative follow-up. Those with comorbid conditions of chronic kidney disease, congestive heart failure, diabetes, or coronary artery disease were excluded from the primary analysis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measures:<\/jats:title>\n            <jats:p>Complication data, including a diagnosis of nonunion, malunion, avascular necrosis (AVN), or need for revision surgery at 1-year follow-up, were compared. In addition, medical complication data at 90 days postoperatively were evaluated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>In total, 808 patients were identified: 392 (48.5%) patients with IT femur fractures and 416 (51.5%) patients with FN fractures. On multivariate analysis, FN fractures had nearly twice the risk of nonunion compared with IT femur fractures (odds ratio = 1.89; confidence interval, 1.09\u20133.30). IT femur fractures had a 5.4% rate of nonunion, a 3.6% rate of revision surgery, a 1% rate of AVN, and a 0.8% rate of conversion into total hip arthroplasty. By contrast, FN fractures had significantly higher rates of nonunion (10.3%; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.009), revision surgery (9.4%; <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.001), AVN (5.8%; <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001), and conversion to total hip arthroplasty (6%; <jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion:<\/jats:title>\n            <jats:p>The results of this study demonstrate that IT fractures in young patients have superior outcomes when compared with their intracapsular counterparts. This is the only series of its kind to evaluate the complication profile of young IT femur fractures on a large scale. This information will be helpful in counseling patients in the perioperative setting.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000002005","type":"journal-article","created":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T02:00:14Z","timestamp":1604887214000},"page":"356-360","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Young Intertrochanteric Femur Fractures Are Associated With Fewer Complications than Young Femoral Neck Fractures"],"prefix":"10.1097","volume":"35","author":[{"given":"Graham J.","family":"DeKeyser","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob M.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick J.","family":"Kellam","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Corey","family":"Spencer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin M.","family":"Haller","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David L.","family":"Rothberg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric R.","family":"Wagner","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Emory University, Atlanta, GA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas F.","family":"Higgins","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucas S.","family":"Marchand","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT; and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250614","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1097\/BOT.0000000000000014","article-title":"Fracture morphology of high shear angle \u201cvertical\u201d femoral neck fractures in young adult patients","volume":"28","author":"Collinge","year":"2014","journal-title":"J Orthop Trauma."},{"key":"R2-20250614","first-page":"131","article-title":"Complications after intracapsular hip fractures in young adults: a meta-analysis of 18 published studies involving 564 fractures","volume":"36","author":"Damany","year":"2005","journal-title":"Injury."},{"key":"R3-20250614","doi-asserted-by":"crossref","first-page":"1711","DOI":"10.2106\/00004623-200408000-00015","article-title":"Operative treatment of femoral neck fractures in patients between the ages of fifteen and fifty years","volume":"86","author":"Haidukewych","year":"2004","journal-title":"J Bone Joint Surg Am."},{"key":"R4-20250614","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/BOT.0000000000000291","article-title":"Femoral neck fractures: current management","volume":"29","author":"Florschutz","year":"2015","journal-title":"J Orthop Trauma."},{"key":"R5-20250614","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1111\/os.12458","article-title":"Correlation between reduction quality of femoral neck fracture and femoral head necrosis based on biomechanics","volume":"11","author":"Wang","year":"2019","journal-title":"Orthop Surg."},{"key":"R6-20250614","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1016\/j.injury.2014.10.010","article-title":"Complications following young femoral neck fractures","volume":"46","author":"Slobogean","year":"2015","journal-title":"Injury."},{"issue":"suppl 1","key":"R7-20250614","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/BOT.0000000000001369","article-title":"Treatment of young femoral neck fractures","volume":"33","author":"Medda","year":"2019","journal-title":"J Orthop Trauma."},{"key":"R8-20250614","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1186\/s12891-018-2276-3","article-title":"Epidemiology, treatment and mortality of trochanteric and subtrochanteric hip fractures: data from the Swedish fracture register","volume":"19","author":"Mattisson","year":"2018","journal-title":"BMC Musculoskelet Disord."},{"key":"R9-20250614","first-page":"238","article-title":"Hip fractures in adults younger than 50 years of age. 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