{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T15:53:36Z","timestamp":1761062016540},"reference-count":31,"publisher":"Baishideng Publishing Group Inc.","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World J Orthop"],"abstract":"BACKGROUND<\/jats:p>\n Among the most frequent hip fractures are trochanteric fractures, which usually occur from low-energy trauma like minor falls, especially in older people with osteoporotic bones.<\/jats:p>\n AIM<\/jats:p>\n To evaluate the treatment efficacy of dynamic condylar screws (DCS) and proximal femoral nails (PFN) for unstable intertrochanteric fractures.<\/jats:p>\n METHODS<\/jats:p>\n To find pertinent randomized controlled trials and retrospective observational studies comparing PFN with DCS for the management of unstable femoral intertrochanteric fractures, a thorough search was carried out. For research studies published between January 1996 and April 2024, PubMed, EMBASE, Scopus, Web of Science, Cochrane Library, and Google Scholar were all searched. The complete texts of the papers were retrieved, vetted, and independently examined by two investigators. Disputes were settled by consensus, and any disagreements that persisted were arbitrated by a third author.<\/jats:p>\n RESULTS<\/jats:p>\n This study included six articles, comprising a total of 173 patients. Compared to the DCS, the PFN had a shorter operation time [mean difference (MD): -41.7 min, 95% confidence interval (95%CI): -63.04 to -20.35, P = 0.0001], higher success rates with closed reduction techniques [risk ratio (RR): 34.05, 95%CI: 11.12-104.31, P < 0.00001], and required less intraoperative blood transfusion (MD: -1.4 units, 95%CI: -1.80 to -1.00, P < 0.00001). Additionally, the PFN showed shorter fracture union time (MD: -6.92 wk, 95%CI: -10.27 to -3.57, P < 0.0001) and a lower incidence of reoperation (RR: 0.37, 95%CI: 0.17-0.82, P = 0.01). However, there was no discernible variation regarding hospital stay, implant-related complications, and infections.<\/jats:p>\n CONCLUSION<\/jats:p>\n Compared to DCS, PFN offers shorter operative times, reduces the blood transfusions requirements, achieves higher closed reduction success, enables faster fracture healing, and lowers reoperation incidence.<\/jats:p>","DOI":"10.5312\/wjo.v15.i8.796","type":"journal-article","created":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T01:41:57Z","timestamp":1723513317000},"page":"796-806","source":"Crossref","is-referenced-by-count":3,"title":["Comparative efficacy of proximal femoral nail vs<\/i> dynamic condylar screw in treating unstable intertrochanteric fractures"],"prefix":"10.5312","volume":"15","author":[{"given":"Ahmed Mohamed","family":"Yousif Mohamed","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monzir","family":"Salih","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohanad","family":"Abdulgadir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman E","family":"Abbas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duha","family":"Lutfi Turjuman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2060","published-online":{"date-parts":[[2024,8,18]]},"reference":[{"key":"B1","doi-asserted-by":"crossref","unstructured":"Dimon JH, Hughston JC. Unstable intertrochanteric fractures of the hip. J Bone Joint Surg Am 1967; 49: 440-450","DOI":"10.2106\/00004623-196749030-00002"},{"key":"B2","unstructured":"Court-Brown CM, Heckman JD, McQueen M, Ricci W, Tornetta P III, McKee M. Rockwood and Green\u2019s fractures in adults. 8th ed. Wolters Kluwer, 2015: 2075-2083"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.2174\/1874325001509010456"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1007\/BF01623184"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1007\/pl00004148"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/s0020-1383(03)00287-0"},{"key":"B7","unstructured":"American Academy of Orthopaedic Surgeons. Management of Hip Fractures in Older Adults EvidenceBased Clinical Practice Guideline. December 3, 2021. [cited 25 June 2024]. 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