Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table

Yüksel Uğur Yaradılmış; Ali Teoman Evren; Mustafa Caner Okkaoglu; Anıl Taşkesen; İsmail Demirkale; Murat Altay; Hakan Uslu; Oğuzhan Çiçek

doi:10.65559/sanatoriummedj.1752773

Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table

Abstract

Background: The aim of the study was to present the results of the supine position without traction table in the proximal femoral nailing surgery and to compare the semi-lithotomy supine position with the straight supine position. Methods: We retrospectively reviewed 125 intertrochanteric femur fracture patients. All patients were operated in supine position with manual traction. Two different peroperative setup techniques were used according to the surgeon's preference and patients were grouped according to this technique: Group 1: semi-lithotomy supine position (n=80) and Group 2: straight supine position (n=45). Peroperative fluoroscopy evaluation, operation time, reduction method, reduction quality and lag screw position, blood transfusion, postoperative hospitalization time, implant failure and nonunion were compared between groups. Results: The mean age of the patients was 77.2 ± 12.04 (65-93) years and gender ratio (F/M) was 2/1. Operation time shortness (48.8±7.5 minutes), blood transfusion 1 units/patients. Baumgartner reduction criteria; %91 good and Cleveland zone is most commonly (%70) on zone 5. Failed ratio was %4. There were no statistical difference in terms of operation time, blood transfusion reduction quality, lag screw position, reduction methods between two groups. However, there was statistical significant on lateral fluoroscopic evaluation (<0.001). Conclusion: Supine position without traction table was successful in PFN surgery. Reliability in fluoroscopic imaging was successful in both lateral and anteroposterior plane in the semi-lithotomy supine position.

Keywords

References

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Details

Primary Language

English

Subjects

Orthopaedics

Journal Section

Research Article

Authors

Yüksel Uğur Yaradılmış ^*
0000-0002-7606-5690
Türkiye

Ali Teoman Evren
0000-0002-1741-3894
Türkiye

Mustafa Caner Okkaoglu
0000-0002-9149-1858
Türkiye

Anıl Taşkesen This is me
0000-0003-4141-7841
Türkiye

İsmail Demirkale
0000-0001-7230-1599
Türkiye

Murat Altay
0000-0002-1898-3733
Türkiye

Hakan Uslu
0009-0003-1515-8388
Türkiye

Oğuzhan Çiçek
0000-0003-2268-4709
Türkiye

Publication Date

January 1, 2026

Submission Date

July 29, 2025

Acceptance Date

October 9, 2025

Published in Issue

Year 2026 Volume: 2 Number: 1

DOI

https://doi.org/10.65559/sanatoriummedj.1752773

IZ

https://izlik.org/JA98YR33PP

Cite

RIS / Bibtex

APA

Yaradılmış, Y. U., Evren, A. T., Okkaoglu, M. C., Taşkesen, A., Demirkale, İ., Altay, M., Uslu, H., & Çiçek, O. (2026). Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table. Sanatorium Medical Journal, 2(1), 27-33. https://doi.org/10.65559/sanatoriummedj.1752773

AMA

1.Yaradılmış YU, Evren AT, Okkaoglu MC, et al. Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table. Sanatorium Med J. 2026;2(1):27-33. doi:10.65559/sanatoriummedj.1752773

Chicago

Yaradılmış, Yüksel Uğur, Ali Teoman Evren, Mustafa Caner Okkaoglu, et al. 2026. “Presentation Two Peroperative Technique Alternatives for Proximal Femoral Nailing Surgery in Pertrochanteric Femoral Fractures Without Traction Table”. Sanatorium Medical Journal 2 (1): 27-33. https://doi.org/10.65559/sanatoriummedj.1752773.

EndNote

Yaradılmış YU, Evren AT, Okkaoglu MC, Taşkesen A, Demirkale İ, Altay M, Uslu H, Çiçek O (January 1, 2026) Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table. Sanatorium Medical Journal 2 1 27–33.

IEEE

[1]Y. U. Yaradılmış et al., “Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table”, Sanatorium Med J, vol. 2, no. 1, pp. 27–33, Jan. 2026, doi: 10.65559/sanatoriummedj.1752773.

ISNAD

Yaradılmış, Yüksel Uğur - Evren, Ali Teoman - Okkaoglu, Mustafa Caner - Taşkesen, Anıl - Demirkale, İsmail - Altay, Murat - Uslu, Hakan - Çiçek, Oğuzhan. “Presentation Two Peroperative Technique Alternatives for Proximal Femoral Nailing Surgery in Pertrochanteric Femoral Fractures Without Traction Table”. Sanatorium Medical Journal 2/1 (January 1, 2026): 27-33. https://doi.org/10.65559/sanatoriummedj.1752773.

JAMA

1.Yaradılmış YU, Evren AT, Okkaoglu MC, Taşkesen A, Demirkale İ, Altay M, Uslu H, Çiçek O. Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table. Sanatorium Med J. 2026;2:27–33.

MLA

Yaradılmış, Yüksel Uğur, et al. “Presentation Two Peroperative Technique Alternatives for Proximal Femoral Nailing Surgery in Pertrochanteric Femoral Fractures Without Traction Table”. Sanatorium Medical Journal, vol. 2, no. 1, Jan. 2026, pp. 27-33, doi:10.65559/sanatoriummedj.1752773.

Vancouver

1.Yüksel Uğur Yaradılmış, Ali Teoman Evren, Mustafa Caner Okkaoglu, Anıl Taşkesen, İsmail Demirkale, Murat Altay, Hakan Uslu, Oğuzhan Çiçek. Presentation two peroperative technique alternatives for proximal femoral nailing surgery in pertrochanteric femoral fractures without traction table. Sanatorium Med J. 2026 Jan. 1;2(1):27-33. doi:10.65559/sanatoriummedj.1752773