Prospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Apr 18, 2025; 16(4): 106862
Published online Apr 18, 2025. doi: 10.5312/wjo.v16.i4.106862
Medial cortical reduction does not influence outcomes in geriatric intertrochanteric femur fractures treated with proximal femoral nail
Prabu Mounisamy, Hanoop Suresh, Sushma Chandrashekar, Udayakumar D, Naveen Jeyaraman, Madhan Jeyaraman, Sathish Muthu
Prabu Mounisamy, Hanoop Suresh, Sushma Chandrashekar, Department of Orthopaedics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India
Udayakumar D, Department of Orthopaedics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry 605107, India
Naveen Jeyaraman, Madhan Jeyaraman, Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai 600077, Tamil Nadu, India
Naveen Jeyaraman, Madhan Jeyaraman, Sathish Muthu, Department of Orthopaedics, Orthopaedic Research Group, Coimbatore 641045, Tamil Nadu, India
Sathish Muthu, Central Research Laboratory, Meenakshi Medical College Hospital and Research Institute, Meenakshi Academy of Higher Education and Research, Chennai 600077, Tamil Nadu, India
Author contributions: Mounisamy P, Suresh H, and Jeyaraman M contributed to conceptualization; Mounisamy P, Suresh H, and Chandrashekar S contributed to acquiring clinical data and performing the data analysis; Jeyaraman N, Suresh H, Muthu S and Jeyaraman M contributed to manuscript writing; Mounisamy P, Muthu S, and Jeyaraman M helped in manuscript revision, contributed to administration; Mounisamy P, Udayakumar D contributed for image acquisition; Jeyaraman M contributed to proofreading. All authors have agreed to the final version to be published and agree to be accountable for all aspects of the work.
Institutional review board statement: Ethical approval has been obtained (JIP/IEC-OS/125/2022 dated 01.10.2023).
Informed consent statement: All participants consented to participate in the study and informed consent was obtained from each participant.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
CONSORT 2010 statement: The authors have read the CONSORT 2010 statement, and the manuscript was prepared and revised according to the CONSORT 2010 statement.
Data sharing statement: All data is contained within the manuscript.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Madhan Jeyaraman, MD, PhD, Assistant Professor, Research Fellow, Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Velappanchavadi, Chennai 600077, Tamil Nadu, India. madhanjeyaraman@gmail.com
Received: March 10, 2025
Revised: March 23, 2025
Accepted: April 11, 2025
Published online: April 18, 2025
Processing time: 39 Days and 6.4 Hours
Core Tip

Core Tip: In this prospective cohort study, 47 geriatric patients with AO/OTA 31A1 and 31A2 femur fractures treated with proximal femoral nailing were analyzed based on medial cortical reduction (MCR). They were divided into positive, neutral, or negative MCR groups. The study found no significant differences in femur neck length shortening, neck-shaft angle changes, modified Harris Hip Scores, or time to full weight-bearing among the groups. MCR alignment does not affect femur neck length or varus collapse. Future randomized trials are needed to validate these findings.