{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:11:25Z","timestamp":1777680685266,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Intertrochanteric fractures (IF) in the elderly are often complicated by osteoporosis and high rates of fixation failure. Current treatment options have limitations in providing both stable fixation and early mobilization in this fragile population. This study aimed to introduce and evaluate a novel approach, the periprosthetic femoral fracture treatment concept (PFFtc), as a surgical strategy to guide hip arthroplasty in elderly IF patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 209 elderly patients (mean age: 81.6\u2009years; range: 70\u201393) with IF who underwent hip arthroplasty using the PFFtc protocol between March 2014 and August 2021, comprising 133 females and 76 males. All patients underwent treatment with the \u201cPFFtc\u201d and were subsequently followed up at intervals of 1\u2009month, 3\u2009months, 6\u2009months, 1\u2009year, 2\u2009years, and annually thereafter. Clinical parameters such as ASA anesthesia grading, Visual Analogue Scale (VAS) scores, Harris Hip Scores (HHS), and Short\u2010Form 36 (SF\u201036) outcomes were meticulously recorded. The subsidence of the femoral stem was assessed using Pelligrini's method, while mortality rates, postoperative complications, and patient's survival status post\u2010discharge were systematically documented. Multivariate logistic regression analysis was performed to identify independent risk factors for postoperative complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Over a mean follow\u2010up of 38.5\u2009\u00b1\u20096.0\u2009months, prosthesis subsidence averaged 2.2\u2009mm and stabilized. No deaths occurred within 30\u2009days postoperatively. The 1\u2010 and 2\u2010year cumulative mortality rates were 4.3% and 11%, respectively. The most common complications included DVT and urinary tract infections. Logistic regression identified hypoproteinemia (OR\u2009=\u20092.38,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.032) and heart disease (OR\u2009=\u20092.74,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012) as independent risk factors for postoperative complications. At final follow\u2010up, the mean VAS was 1.1\u2009\u00b1\u20091.0, HHS was 89.4\u2009\u00b1\u20093.9, PCS was 53.2\u2009\u00b1\u20098.5, and MCS was 50.5\u2009\u00b1\u20096.7. Among surviving patients, 63.0% lived independently at home.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The PFFtc\u2010guided arthroplasty approach appears to be a safe and effective option for managing IF in elderly patients. It provides stable fixation and functional recovery of prostheses and muscles and offers a promising alternative to traditional fixation strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/os.70164","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:50:25Z","timestamp":1756277425000},"page":"3089-3099","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Management of Hip Arthroplasty for Intertrochanteric Fractures Under the Treatment Concept of Periprosthetic Fractures"],"prefix":"10.1111","volume":"17","author":[{"given":"Wei\u2010Qiang","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Orthopaedics &amp; Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)  Zhejiang Hangzhou China"},{"name":"Zhejiang Chinese Medical University  Zhejiang Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xu\u2010Song","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Traumatology Zhongshan Hospital of Traditional Chinese Medicine (Zhongshan Hospital of Traditional Chinese Medicine Affiliated to Guangzhou University of Traditional Chinese Medicine).  Zhongshan Guangdong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke\u2010Qin","family":"Yu","sequence":"additional","affiliation":[{"name":"Zhejiang Chinese Medical University  Zhejiang Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rong\u2010Zhen","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics &amp; Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)  Zhejiang Hangzhou China"},{"name":"Zhejiang Chinese Medical University  Zhejiang Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiang","family":"Hua","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics &amp; Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)  Zhejiang Hangzhou China"},{"name":"Zhejiang Chinese Medical University  Zhejiang Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jie\u2010Feng","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics &amp; Traumatology The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Chinese Medicine)  Zhejiang Hangzhou China"},{"name":"Zhejiang Chinese Medical University  Zhejiang Hangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,8,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1611090"},{"issue":"1","key":"e_1_2_12_3_1","first-page":"62","article-title":"The Impact of an Ageing Population on Future Increases in Hip Fracture Burden","volume":"106","author":"Harris E.","year":"2024","journal-title":"Bone & Joint Journal"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2006.04.130"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-016-3308-y"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2004.04.017"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/srep18195"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.07.029"},{"issue":"11","key":"e_1_2_12_9_1","first-page":"1215","article-title":"Significant Deterioration in Quality of Life and Increased Frailty in Patients Waiting More Than Six Months for Total Hip or Knee Arthroplasty: A Cross\u2010Sectional Multicentre Study","volume":"104","author":"Clement N. 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