21 February 2026 : Clinical Research
Independent Risk Factors for Lag Screw Cut-Out: The Role of Open Reduction in Intertrochanteric Fracture Fixation With the Proximal Femoral Nail
Hilmi Alkan
ABCD 1*, Yasin Erdoğan EFG 1
DOI: 10.12659/MSM.951584
Med Sci Monit 2026; 32:e951584
Table 1 Demographic and baseline characteristics of patients.
| Variable | All patients (n=190) | Non–cut-out (n=160) | Cut-out (n=30) | P value |
|---|---|---|---|---|
| Age at surgery (years, mean±SD) | 72.5±9.0 | 72.4±9.1 | 73.1±8.7 | 0.64 |
| Sex | 0.93 | |||
| Male | 113 (59.5%) | 95 (59.4%) | 18 (60.0%) | |
| Female | 77 (40.5%) | 65 (40.6%) | 12 (40.0%) | |
| Side | 0.82 | |||
| Right | 97 (51.1%) | 81 (50.6%) | 16 (53.3%) | |
| Left | 93 (48.9%) | 79 (49.4%) | 14 (46.7%) | |
| Fracture type | ||||
| Stable | 39 (20.5%) | 34 (21.3%) | 5 (16.7%) | |
| Unstable | 151 (79.5%) | 126 (78.7%) | 25 (83.3%) | |
| Operation type | ||||
| Closed | 170 (89.5%) | 150 (93.7%) | 20 (66.7%) | |
| Open | 20 (10.5%) | 10 (6.3%) | 10 (33.3%) | |
| Reduction quality | Good: 150 (78.9%)Acceptable: 40 (21.1%) | Good: 127 (79.4%)Acceptable: 33 (20.6%) | Good: 23 (76.7%)Acceptable: 7 (23.3%) | 0.88 |
| Follow-up (months, mean±SD) | 14.2±6.7 | 14.5±6.5 | 13.1±7.4 | 0.38 |
| Values are presented as mean±standard deviation or number (%). Cut-out was defined as lag screw penetration through the femoral head. | ||||