{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:34:31Z","timestamp":1781652871274,"version":"3.54.5"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to compare the outcomes of three reduction methods used during intramedullary nailing of the subtrochanteric femur fractures. \\r\\nMethods: This study included 45 patients with subtrochanteric femur fractures who were treated with intramedullary nailing. Twenty-two patients underwent clamp-assisted reduction, 11 reduction with cable cerclage, and 12 with blocking screws. Reduction techniques were compared with respect to the early postoperative alignment, one year postoperative alignment, time to full weight-bearing, time to union, Harris hip score at one year, operation and fluoroscopy times, blood transfusion amount, complications, and additional interventions. \\r\\nResults: The clamp-assisted reduction group had a statistically high mean time to full weight-bearing (p=0.038) and a low mean Harris hip score at one year (p=0.002). The blocking screw group\u2019s operation times and fluoroscopy times were statistically long. There was no statistically significant difference between the clamp-assisted reduction and cable cerclage groups in terms of operation times and fluoroscopy times. On the other hand, there were statistically significant differences between the clamp-assisted reduction and blocking screw groups (p=0.0001 and p=0.0001, respectively) and between the cable cerclage and blocking screw groups (p=0.037 p=0.0001, respectively) in terms of operation times and fluoroscopy times. There was no statistically significant difference between the clamp-assisted reduction, cable cerclage and the blocking screw groups in terms of early postoperative alignment, one year postoperative alignment, time to union, complications or additional interventions. \\r\\nConclusion: Clamp-assisted reduction leads to a longer time to weight-bearing and a poorer functional status at one year. Operation time and fluoroscopy time were longest in the blocking screw group.\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 subtrokanterik femur k\u0131r\u0131klar\u0131n\u0131n tedavisinde intramed\u00fcller \u00e7ivi kullan\u0131lan \u00fc\u00e7 red\u00fcksiyon tekni\u011finin sonu\u00e7lar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131rmak idi. \\r\\n\u00c7al\u0131\u015fma plan\u0131: \u0130ntramed\u00fcller \u00e7ivi ile birlikte kemik klempi ile red\u00fcksiyon uygulanan 22, kablo serklaj uygulanan 11 ve bloklama vidas\u0131 uygulanan 12 hasta olmak \u00fczere toplam 45 subtrokanterik femur k\u0131r\u0131kl\u0131 hasta \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Red\u00fcksiyon teknikleri ameliyat sonras\u0131 erken d\u00f6nem dizilim, ameliyat sonras\u0131 1. y\u0131lda dizilim, tam y\u00fck verme s\u00fcresi, kaynama s\u00fcresi, 1. y\u0131l sonu Harris kal\u00e7a skoru, ameliyat s\u00fcresi, skopi s\u00fcresi, kan transf\u00fczyonu miktar\u0131, komplikasyon ve ilave giri\u015fim a\u00e7\u0131s\u0131ndan istatistiksel olarak kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. \\r\\nBulgular: Kemik klempi grubunun tam y\u00fck verme s\u00fcre ortalamalar\u0131 istatistiksel olarak anlaml\u0131 derecede y\u00fcksek (p=0.038), 1. y\u0131lda Harris kal\u00e7a skoru ortalamalar\u0131 ise d\u00fc\u015f\u00fck bulundu (p=0.002). Bloklama vidas\u0131 grubunda ameliyat ve skopi s\u00fcreleri uzun idi. Kemik klempi ile kablo serklaj gruplar\u0131 aras\u0131nda ameliyat s\u00fcreleri ve skopi s\u00fcreleri a\u00e7\u0131s\u0131ndan anlaml\u0131 fark yokken, bloklama vidas\u0131 grubu ile kemik klempi grubu aras\u0131nda (s\u0131ras\u0131yla p=0.0001, p=0.0001) ve bloklama vidas\u0131 ile kablo serklaj aras\u0131nda (s\u0131ras\u0131yla p=0.037, p=0.0001) anlaml\u0131 fark vard\u0131. Kemik klempi, kablo serklaj ve bloklama vidas\u0131 gruplar\u0131 aras\u0131nda, erken d\u00f6nem dizilim, ameliyat sonras\u0131 1. y\u0131lda dizilim, kaynama s\u00fcresi, komplikasyon ve ilave giri\u015fim a\u00e7\u0131s\u0131ndan istatistiksel olarak anlaml\u0131 farkl\u0131l\u0131k g\u00f6zlenmedi. \\r\\n\u00c7\u0131kar\u0131mlar: Kemik klempi ile red\u00fcksiyon y\u00f6nteminde hasta aya\u011f\u0131na daha ge\u00e7 y\u00fck vermekte ve 1. y\u0131l sonundaki fonksiyonel durumu di\u011fer gruplardan daha k\u00f6t\u00fc olmaktad\u0131r. Bloklama vidas\u0131 grubunda ameliyat ve skopi s\u00fcreleri di\u011ferlerinden daha uzundur.<\/jats:p>","DOI":"10.3944\/aott.2012.2639","type":"journal-article","created":{"date-parts":[[2012,4,13]],"date-time":"2012-04-13T07:32:17Z","timestamp":1334302337000},"page":"113-119","source":"Crossref","is-referenced-by-count":17,"title":["Comparison of reduction methods in intramedullary nailing of subtrochanteric femoral fractures"],"prefix":"10.5152","volume":"46","author":[{"given":"Mustafa","family":"Seyhan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koray","family":"Unay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadir","family":"Sener","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2592\/2548","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:18Z","timestamp":1763465238000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2012,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2639","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}