{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T17:20:58Z","timestamp":1778001658161,"version":"3.51.4"},"reference-count":30,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T00:00:00Z","timestamp":1557705600000},"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":[[2020,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>To date, there are just several studies comparing distal locked nails with distal unlocked nails in treating intertrochanteric fractures. We report the first meta\u2010analysis about this issue.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Systematic search was conducted for studies in PubMed, Embase and Cochrane Library. Meta\u2010analyses were performed regarding intra operative outcomes, complications and functional outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pooled results showed insignificant difference between distal locking group and distal unlocking group in hip pain (relative risk (RR) 1.14, 95% confidence interval (CI) 0.59\u20132.19), distal tip fracture (RR 1.08, 95% CI 0.37\u20133.11), lag screw cut\u2010out (RR 1.60, 95% CI 0.54\u20134.78), delayed or nonunion (RR 1.32, 95% CI 0.25\u20137.06), deep vein thrombosis (RR 1.06, 95% CI 0.23\u20134.84), wound infection (RR 0.58, 95% CI 0.28\u20131.22), Harris hip score (standard mean deviation (SMD) 0.03, 95% CI \u22120.15 to 0.21) and walking ability. However, significant difference was detected in operation time (SMD 0.77, 95% CI 0.36\u20131.17), fluoroscopy exposure time (SMD 1.02, 95% CI 0.52\u20131.52), blood loss (SMD 0.80, 95% CI 0.62\u20130.99) and total incision length (SMD 1.16, 95% CI 0.86\u20131.47). Result of trial sequential analysis indicated conclusive evidence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Current evidence indicates that the distal locked intramedullary nails should not be recommended as routine choice for stable intertrochanteric fractures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15232","type":"journal-article","created":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T23:59:21Z","timestamp":1557791961000},"page":"27-33","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Distal locked or unlocked nailing for stable intertrochanteric fractures? 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