{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T09:28:09Z","timestamp":1785576489287,"version":"3.56.0"},"reference-count":38,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T00:00:00Z","timestamp":1718755200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Trochanteric and subtrochanteric fractures result in nonunion in more than 20% of cases. The aim of this study was to assess the functional and radiological results following revision cephalomedullary nailing and 95-degree angled blade plating in aseptic trochanteric and subtrochanteric nonunion. Methods: In a retrospective multi-center study between January 2010 and December 2020, a total of 68 consecutive patients (21 women and 47 men) from two European level I trauma centers with the diagnosis of aseptic nonunion were recruited. Follow-up assessment and the patients\u2019 convenience were assessed using the Harris Hip Score, Visual Analog Scale for pain at rest and on stress\/exertion and Short Form-12. Results: The patients\u2019 mean age was 57 (range 26\u201385) years. After a follow-up period of 12 months, one case of persistent nonunion in the cephalomedullary nail group and 10 cases in the blade plate group were identified. The mean duration of surgery was 137 \u00b1 47 min in the cephalomedullary nail group and 202 \u00b1 59 min in the blade plate group (&lt;0.0001). Short-term postoperative complications included wound dehiscence, bleeding, mismatched screw and hematoma. The mid-term results 12 months after surgical revision demonstrated significantly different osseous union rates (p = 0.018). The long-term functional outcome according to the Harris Hip Score 6 years (range 2\u201310) after revision surgery demonstrated 81 \u00b1 21 points in the cephalomedullary nail group and 64 \u00b1 23 points in the plate group (p = 0.026). Conclusions: This study demonstrated that the revision treatment of trochanteric and subtrochanteric nonunion using a 95-degree blade plate or cephalomedullary nail resulted in a high percentage of osseous union, with a low incidence of complications and good functional results for both methods.<\/jats:p>","DOI":"10.3390\/jcm13123591","type":"journal-article","created":{"date-parts":[[2024,6,19]],"date-time":"2024-06-19T08:06:06Z","timestamp":1718784366000},"page":"3591","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Functional and Radiological Results Following Revision Blade Plating and Cephalomedullary Nailing in Aseptic Trochanteric and Subtrochanteric Nonunion"],"prefix":"10.3390","volume":"13","author":[{"given":"Julia","family":"Rehme-R\u00f6hrl","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery, BG Unfallklinik Murnau, 82418 Murnau, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5776-2175","authenticated-orcid":false,"given":"Andreas","family":"Brand","sequence":"additional","affiliation":[{"name":"Institute for Biomechanics, Paracelsus Medical University, 5020 Salzburg, Austria"},{"name":"Institute for Biomechanics, BG Unfallklinik Murnau, 82418 Murnau, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annika","family":"Dolt","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, BG Unfallklinik Frankfurt, 60389 Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4691-6463","authenticated-orcid":false,"given":"Dag","family":"Gr\u00fcnewald","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, BG Unfallklinik Frankfurt, 60389 Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhard","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, BG Unfallklinik Frankfurt, 60389 Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Stuby","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, BG Unfallklinik Murnau, 82418 Murnau, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9863-9109","authenticated-orcid":false,"given":"Uwe","family":"Schweigkofler","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopedic Surgery, BG Unfallklinik Frankfurt, 60389 Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6308-8378","authenticated-orcid":false,"given":"Christian","family":"von R\u00fcden","sequence":"additional","affiliation":[{"name":"Institute for Biomechanics, Paracelsus Medical University, 5020 Salzburg, Austria"},{"name":"Department of Trauma Surgery, Orthopaedics and Hand Surgery, Weiden Medical Center, 92637 Weiden, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,6,19]]},"reference":[{"key":"ref_1","first-page":"119","article-title":"Standards in the treatment of proximal femoral fractures","volume":"15","author":"Hedke","year":"2013","journal-title":"Trauma Berufskrankh"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.injury.2005.09.017","article-title":"Treatment of subtrochanteric nonunions","volume":"37","author":"Kloen","year":"2006","journal-title":"Injury"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/s00113-013-2413-2","article-title":"Non-unions. 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Open"}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/12\/3591\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:01:08Z","timestamp":1760108468000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/12\/3591"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,19]]},"references-count":38,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,6]]}},"alternative-id":["jcm13123591"],"URL":"https:\/\/doi.org\/10.3390\/jcm13123591","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,19]]}}}