2 Reverse obliquity intertrochanteric fractures are classified by the Orthopaedic Trauma Association / as 31A3. Globally, 4.5 million people are disabled from hip fractures each year, 1 and the number is estimated to increase to 7.3 and up to 21.3 million by 2050. Patients treated with an Intertan nail reported the lowest TAD, CALTAD, and TALCALTAD mean radiographic values, and the lowest rate of Hb loss and blood transfusions. The mean time between admission and surgery was 2.5 days, with a mean Hb value of 10.5 g/dl reported preoperatively. A Trigen Intertan Nail was the most frequent choice of intramedullary nailing in 33 patients (47%), an Elos Long nail was chosen in 19 cases (27%), while a ZNN nail was used in 18 patients (26%). The selected group included 11 males (16%) and 59 females (84%), with a mean age of 83.6 years (range 61 to 96 years). All the patients had been treated with intramedullary nailing. Material and methodsĪ retrospective comparative study was conducted on patients surgically treated for 31A3 fractures from October 2018 to January 2022 in a high-volume regional referral centre. The treatment of choice of those fractures is intramedullary nailing as it decreases soft tissue damage and permits early weight bearing. Reverse oblique intertrochanteric fractures are classified by the Orthopaedic Trauma Association / as 31A3, and account for up to one-third of all hip fractures, and 2–23% of all trochanteric fractures.
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