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 2 Univariate and multivariate analysis of risk factors for cut-out.
| Variable | Univariate OR (95% CI) | P value | Multivariate adjusted OR (95% CI) | P value |
|---|---|---|---|---|
| Age at surgery (years) | 1.04 (0.78–1.39) | 0.64 | 1.02 (0.68–1.49) | 0.77 |
| Sex (Male vs Female) | 1.02 (0.53–1.96) | 0.93 | 0.98 (0.46–2.12) | 0.96 |
| Fracture type (unstable vs stable) | 3.12 (1.31–7.45) | * | 2.98 (1.18–7.52) | * |
| Surgery type (open vs closed reduction) | 3.45 (1.29–9.27) | * | 3.41 (1.22–9.56) | * |
| Cleveland index (non-ideal vs ideal zone) | 1.72 (0.89–3.32) | 0.11 | 1.84 (0.82–4.14) | 0.13 |
| Neck–shaft angle (poor vs good) | 1.54 (0.81–2.91) | 0.14 | 1.65 (0.72–3.88) | 0.18 |
| Tip–apex distance (mm) | 1.12 (0.64–1.98) | 0.27 | 1.08 (0.59–1.94) | 0.74 |
| * Values are presented as odds ratio (OR) with 95% confidence interval (CI). | ||||