{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T10:31:24Z","timestamp":1774780284953,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,2,12]],"date-time":"2014-02-12T00:00:00Z","timestamp":1392163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Subtrochanteric fracture is a recognized complication following cannulated screw fixation of intracapsular hip fracture. We investigated the incidence of subtrochanteric fracture in a consecutive series of 304 patients and its association with screw entry point in the lateral femoral cortex.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective consecutive case series of patients treated with internal fixation for intracapsular hip fracture by our unit between <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2003 and <jats:styled-content style=\"fixed-case\">J<\/jats:styled-content>anuary 2010 were included. Two authors reviewed radiographs independently to determine distal screw entry point in the lateral femoral cortex. <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ickey zone 1 was an entry point above the level of the upper border of the lesser trochanter. <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ickey zone 2 was defined as an entry point between the upper and lower borders of the lesser trochanter. <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ickey zone 3 was an entry point below the lower border of the lesser trochanter. Clinical notes were reviewed for subsequent subtrochanteric fracture. Association between subtrochanteric fracture and distal screw entry point in the lateral femoral cortex in relation to the upper border of the lesser trochanter was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Two hundred and fifty\u2010six post\u2010operative radiographs were available for analysis. Mean patient age was 73 years (30\u201398), 75% were women. There were 24 patients with screw entry point in <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ickey zone 1, 225 in <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ickey zone 2, and 7 in <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ickey zone 3. Two patients sustained subtrochanteric fracture. No subtrochanteric fractures occurred in patients with <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ickey zone two\u2010screw entry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Subtrochanteric fracture is rare following cannulated screw fixation of intracapsular neck of femur fracture (0.78%). In this retrospective consecutive case series, no subtrochanteric fractures occurred when the entry point of the lowest screw in the lateral femoral cortex is between the levels of the upper and lower borders of the lesser trochanter.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.12498","type":"journal-article","created":{"date-parts":[[2014,2,12]],"date-time":"2014-02-12T12:37:59Z","timestamp":1392208679000},"page":"245-248","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Is distal screw entry point associated with subtrochanteric fracture after intracapsular hip fracture fixation?"],"prefix":"10.1111","volume":"84","author":[{"given":"Ben","family":"Hickey","sequence":"first","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery University Hospital of Wales  Cardiff Wales UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huw M.","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery University Hospital of Wales  Cardiff Wales UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen","family":"Jones","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery University Hospital of Wales  Cardiff Wales UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,2,12]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1302\/0301-620X.64B5.7142262","article-title":"Subtrochanteric fracture after Garden screw fixation of subcapital fractures","volume":"64","author":"Howard CB","year":"1982","journal-title":"J. Bone Joint Surg. Br."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(84)90154-2"},{"key":"e_1_2_5_4_1","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.3928\/0147-7447-19921101-19","article-title":"Subtrochanteric fractures following osteosynthesis of femoral neck fractures with the VLC\u2010femoral system","volume":"15","author":"Blyme PJ","year":"1992","journal-title":"Orthopedics"},{"key":"e_1_2_5_5_1","first-page":"214","article-title":"Subtrochanteric fracture as a complication of proximal femoral pinning","volume":"194","author":"Karr RK","year":"1985","journal-title":"Clin. Orthop. Relat. Res."},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(84)90059-7"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(83)90042-6"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(90)90120-J"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199806000-00004"},{"key":"e_1_2_5_10_1","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1302\/0301-620X.46B4.630","article-title":"Stability and union in subcapital fractures of the femur","volume":"46","author":"Garden RS","year":"1964","journal-title":"J. Bone Joint Surg. Br."},{"key":"e_1_2_5_11_1","first-page":"778","article-title":"Subtrochanteric fracture: a rare but severe complication after screw fixation of femoral neck fractures in the elderly","volume":"76","author":"Jansen H","year":"2010","journal-title":"Acta Orthop. Belg."},{"key":"e_1_2_5_12_1","first-page":"20","article-title":"ReCal: intercoder reliability calculation as a web service","volume":"5","author":"Freelon D","year":"2010","journal-title":"Int. J. Internet Sci."},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200303000-00013"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.12498","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.12498","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T23:29:03Z","timestamp":1696462143000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.12498"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,2,12]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1111\/ans.12498"],"URL":"https:\/\/doi.org\/10.1111\/ans.12498","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,2,12]]},"assertion":[{"value":"2013-10-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-02-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}