{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T19:49:20Z","timestamp":1772999360830,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,4,13]],"date-time":"2025-04-13T00:00:00Z","timestamp":1744502400000},"content-version":"vor","delay-in-days":102,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100007280","name":"Srinakharinwirot University","doi-asserted-by":"publisher","award":["414\/2564"],"award-info":[{"award-number":["414\/2564"]}],"id":[{"id":"10.13039\/501100007280","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Advances in Orthopedics"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    The optimal length of cephalomedullary nails for treating unstable pertrochanteric fractures, particularly in populations with distinct femoral anatomy, remains debated. This study compares the clinical outcomes of using the shortest effective cephalomedullary nails (170\u2009mm) to various short length (200\u2009mm and 240\u2009mm), focusing on Asian patients.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods:<\/jats:bold>\n                    In this randomized controlled trial, 50 patients aged 50\u2009years or older with unstable intertrochanteric fractures (AO types 31A2\u20103) were randomly assigned to two groups. The shortest\u2010nail group (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200925) received a 170\u2009mm cephalomedullary nail, while the control group (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200925) received either a 200\u2009mm or 240\u2009mm nail based on patient height. Primary outcomes were assessed using the Harris Hip Score (HHS) at multiple postsurgery intervals. Secondary outcomes included operative time, hospital stay, hidden blood loss (HBL) (calculated using Sehat\u2019s formula), and complication rates.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results:<\/jats:bold>\n                    There were no significant differences in HHSs, hospital stay durations, or operative times between the two groups. The median time to fracture union was also comparable between groups (18.1\u2009weeks vs. 18.2\u2009weeks,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.9). However, the shortest\u2010nail group showed significantly lower HBL (860.52\u2009mL) compared with the control group (1183.40\u2009mL,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.04). Complications included five cases of blade cut\u2010out or refracture, with no significant differences between groups.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The shortest effective cephalomedullary nails (170\u2009mm) may offer benefits, particularly in reducing HBL, compared with various short\u2010length nails. However, this advantage may not be solely attributable to nail length, as both groups underwent similar surgical techniques and other factors, such as fracture patterns or patient anatomy, may have influenced the outcomes. While short nails are effective for treating unstable pertrochanteric fractures, larger studies with longer follow\u2010up periods are necessary to validate these findings and assess the long\u2010term safety and efficacy of short nails.\n                  <\/jats:p>","DOI":"10.1155\/aort\/6689145","type":"journal-article","created":{"date-parts":[[2025,4,14]],"date-time":"2025-04-14T02:28:36Z","timestamp":1744597716000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Efficacy in Pertrochanteric Fractures: A Randomized Controlled Trial of the Shortest Versus Various Short\u2010Length Cephalomedullary Nails"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3569-8640","authenticated-orcid":false,"given":"Wittawat","family":"Boonyanuwat","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikom","family":"Noree","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3397-6600","authenticated-orcid":false,"given":"Pinkawas","family":"Kongmalai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,13]]},"reference":[{"key":"e_1_2_12_1_2","first-page":"1806","article-title":"[Pertrochanteric Fracture in Elderly Subjects. 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