{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:42:27Z","timestamp":1777880547738,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2008,8]]},"abstract":"\n Purpose.<\/jats:title>\n To review patients with proximal femoral nails (PFNs) in our hospital that developed complications and needed revision.<\/jats:p>\n <\/jats:sec>\n \n Methods.<\/jats:title>\n Between January 2000 and June 2006, records of 216 patients with PFN fixations for traumatic extracapsular trochanteric fractures (n=160), pathological fractures (n=23), and as a prophylactic measure for metastasis (n=33) were retrospectively reviewed. The injury mechanism, reduction technique and quality, and time to and cause of implant failure were recorded.<\/jats:p>\n <\/jats:sec>\n \n Results.<\/jats:title>\n 12 PFNs failed: 8 in the trauma group, 3 in the pathological group, and one in the prophylactic nailing group. Two PFNs broke at the proximal lag screw level at a later stage secondary to non-union of the pathological fractures. One broke at the level of the distal locking screw at an early stage, as the locking holes were too close to the fracture.<\/jats:p>\n <\/jats:sec>\n \n Conclusion.<\/jats:title>\n Poorly reduced fractures tend to fail early, whereas late failures are due to non-union. Good reduction with minimal dissection, the use of appropriate nail length, and proper positioning of the nail and screws are necessary to avoid failure or revision.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/230949900801600203","type":"journal-article","created":{"date-parts":[[2016,10,4]],"date-time":"2016-10-04T17:14:58Z","timestamp":1475601298000},"page":"146-149","source":"Crossref","is-referenced-by-count":19,"title":["Proximal Femoral Nail Failures in Extracapsular Fractures of the Hip"],"prefix":"10.1177","volume":"16","author":[{"given":"MSG","family":"Ballal","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Arrowe Park Hospital, Wirral, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N","family":"Emms","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Arrowe Park Hospital, Wirral, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Ramakrishnan","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Arrowe Park Hospital, Wirral, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma Surgery, Arrowe Park Hospital, Wirral, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,8,1]]},"reference":[{"key":"bibr1-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198001000-00008"},{"key":"bibr2-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(97)00035-1"},{"key":"bibr3-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.73B2.2005167"},{"key":"bibr4-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1016\/0020-1383(95)00126-T"},{"key":"bibr5-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1007\/s002640100275"},{"key":"bibr6-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(99)00091-1"},{"key":"bibr7-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(03)00101-3"},{"key":"bibr8-230949900801600203","first-page":"953","volume":"65","author":"Friedl W","year":"1994","journal-title":"Chirurg"},{"key":"bibr9-230949900801600203","first-page":"278","volume":"98","author":"Lustenberger A","year":"1995","journal-title":"Unfallchirurg"},{"key":"bibr10-230949900801600203","first-page":"173","volume":"198","author":"Behr JT","year":"1985","journal-title":"Clin Orthop Relat Res"},{"key":"bibr11-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198309000-00041"},{"key":"bibr12-230949900801600203","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(02)00054-2"},{"key":"bibr13-230949900801600203","first-page":"665","volume":"59","author":"Nazri MY","year":"2004","journal-title":"Med J Malaysia"}],"container-title":["Journal of Orthopaedic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900801600203","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/230949900801600203","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:14:39Z","timestamp":1777594479000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/230949900801600203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,8]]},"references-count":13,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,8]]}},"alternative-id":["10.1177\/230949900801600203"],"URL":"https:\/\/doi.org\/10.1177\/230949900801600203","relation":{},"ISSN":["1022-5536","2309-4990"],"issn-type":[{"value":"1022-5536","type":"print"},{"value":"2309-4990","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,8]]}}}