{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T22:44:39Z","timestamp":1769726679484,"version":"3.49.0"},"reference-count":19,"publisher":"SLACK, Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2017,3]]},"abstract":"<jats:p>\n            Although intertrochanteric femoral fractures in elderly patients are common injuries that have been studied extensively, little has been reported about high-energy intertrochanteric fractures in younger patients. This study examined the injury characteristics and outcomes of high-energy intertrochanteric fractures in patients younger than 65 years treated with either sliding hip screws (SHSs) or cephalomedullary nails (CMNs). A total of 37 patients younger than 65 years (mean age, 45 years) with high-energy intertrochanteric fractures and mean follow-up of 34 weeks were identified; 21 patients were treated with SHSs, and 16 patients were treated with CMNs. All fractures were AO\/ Orthopaedic Trauma Association (OTA) fracture type 31A1 or 31A2. Injury characteristics, measures of surgical quality, treatment outcomes, and complications were compared. Despite high-energy mechanisms of injury, 84% of patients had AO\/OTA type 31A1 fractures, 60% presented with an Injury Severity Score of 17 or higher, and 78% sustained other injuries. There were no significant differences in tip-apex distance (TAD), reduction quality, blood loss, or surgical time (\n            <jats:italic>P<\/jats:italic>\n            &gt;.05) for fractures treated with SHSs or CMNs. The overall rate of major complications requiring revision surgery was 13.5%; this difference was not statistically significant (\n            <jats:italic>P<\/jats:italic>\n            =.36). Young patients with intertrochanteric fractures often have multisystem trauma; these fractures are difficult to reduce by closed means, and young patients are more prone to complications than older patients. In particular, varus collapse occurred at a high rate in young patients with intertrochanteric fractures treated with SHSs despite relatively simple fracture patterns, satisfactory TAD, and satisfactory reduction quality. [\n            <jats:italic>Orthopedics.<\/jats:italic>\n            2017; 40(2):e293\u2013e299.]\n          <\/jats:p>","DOI":"10.3928\/01477447-20161128-04","type":"journal-article","created":{"date-parts":[[2016,12,7]],"date-time":"2016-12-07T16:33:21Z","timestamp":1481128401000},"source":"Crossref","is-referenced-by-count":23,"title":["High Complication Rate in Young Patients With High-Energy Intertrochanteric Femoral Fractures"],"prefix":"10.3928","volume":"40","author":[{"given":"Michael H.","family":"Amini","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J.","family":"Feldman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"IV","given":"John C.","family":"Weinlein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318162f67f"},{"issue":"9","key":"e_1_3_1_3_2","first-page":"CD000093","article-title":"Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults","author":"Parker MJ","year":"2010","unstructured":"Parker MJ, Handoll HH. Gamma and other cephalocondylic intramedullary nails versus extramedullary implants for extracapsular hip fractures in adults. Cochrane Database Syst Rev. 2010; 9:CD000093.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_1_4_2","first-page":"238","article-title":"Hip fractures in adults younger than 50 years of age: epidemiology and results","volume":"312","author":"Robinson CM","year":"1995","unstructured":"Robinson CM, Court-Brown CM, McQueen MM, Christie J. Hip fractures in adults younger than 50 years of age: epidemiology and results. Clin Orthop Relat Res. 1995; 312:238\u2013246.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200209000-00013"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01353"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200408000-00015"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.93B6.26432"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3180467745"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-200604000-00002"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004020000190"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(01)00070-5"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000000187"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200105000-00001"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0b013e318251930d"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200203000-00007"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199507000-00012"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638280701355538"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-009-0783-4"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-003-0457-6"}],"container-title":["Orthopedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.healio.com\/orthopedics\/journals\/ortho\/2017-3-40-2\/%7Bd973ec78-3d48-468a-8d6f-a991f97e72d5%7D\/high-complication-rate-in-young-patients-with-high-energy-intertrochanteric-femoral-fractures","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,3]],"date-time":"2023-05-03T09:01:16Z","timestamp":1683104476000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.healio.com\/doi\/10.3928\/01477447-20161128-04"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,3]]}},"alternative-id":["10.3928\/01477447-20161128-04"],"URL":"https:\/\/doi.org\/10.3928\/01477447-20161128-04","relation":{},"ISSN":["0147-7447","1938-2367"],"issn-type":[{"value":"0147-7447","type":"print"},{"value":"1938-2367","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3]]}}}