{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:08:55Z","timestamp":1777676935387,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T00:00:00Z","timestamp":1601942400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The treatment of Intertrochanteric fractures in the elderly osteoporotic patient is still controversial. The aim of this study was to compare the outcomes of proximal femoral nailing (PFN) and a distally-fixed non-modular monoblock fluted long-stem hemiarthroplasty (HA) in elderly patients with an osteoporotic intertrochanteric fracture.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective study included patients who had undergone surgery for an unstable intertrochanteric fracture. The patients were separated into PFN and HA groups. The demographic features of the 2 groups were compared. All patients were evaluated using the Singh index, ASA score, AO\/OTA classification, Harris Hip Score (HHS), and Parker and Palmer mobility score.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The most common complications were nonunion (12.0%) and cut-out of the screw (10.7%) in the PFN group, and dislocation of the prosthesis (6.7%) and wound infection (5.7%) in the HA group. Overall, the 2-year mortality rate was 29.3%. Mortality, particularly within the first 3\u2009months, was 2.4 times higher in the PFN Group than in the HA group (40% vs. 19.75%). Although the HHS was significantly higher in the first year for the HA group, no significant difference was seen between the 2 groups at 24\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Although PFN and HA have similar good outcomes at 2\u2009years, HA allows earlier mobilisation and has fewer complications and a lower mortality rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120700020963529","type":"journal-article","created":{"date-parts":[[2020,10,6]],"date-time":"2020-10-06T05:41:05Z","timestamp":1601962865000},"page":"124-130","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Distally-fixed non-modular monoblock fluted long-stem hemiarthroplasty versus proximal femoral nailing for elderly patients with an osteoporotic intertrochanteric fracture: a retrospective comparative study"],"prefix":"10.1177","volume":"32","author":[{"given":"Osman","family":"\u00c7ilo\u011flu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Adana City Training and Research Hospital, Adana, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evren","family":"Karaali","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Adana City Training and Research Hospital, Adana, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asl\u0131han","family":"Ku\u015fvuran \u00d6zkan","sequence":"additional","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine, \u00d6z\u00fclk\u00fc Medical Centre, Adana, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timur","family":"Ekiz","sequence":"additional","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine, T\u00fcrkmenba\u015f\u0131 Medical Centre, Adana, 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