Letter to the editor: Calcar fracture gapping: a reliable predictor of anteromedial cortical support failure after cephalomedullary nailing for pertrochanteric femur fractures

BMC Musculoskelet Disord. 2022 Jul 28;23(1):720. doi: 10.1186/s12891-022-05688-w.

Abstract

A recently published article by Song H et al. investigated the risk factors for anteromedial cortical support loss in pertrochanteric fractures treated with cephalomedullary nails. In this Correspondence, we would like to raise some concerns. Specifically, calcar fracture gap and anteromedial cortical support are different concepts in evaluating reduction quality. In addition, calcar fracture gap using immediate postoperative radiographic images has measurement bias. Lastly, explanatory variables selected for multivariable analysis are inappropriate. We would like to discuss and suggest solutions for these problems.

Keywords: Anteromedial cortical support; Fracture gap; Multivariable analysis; Trochanteric fracture.

Publication types

  • Comment

MeSH terms

  • Bone Nails / adverse effects
  • Femoral Fractures* / diagnostic imaging
  • Femoral Fractures* / etiology
  • Femoral Fractures* / surgery
  • Femur / surgery
  • Fracture Fixation, Intramedullary* / adverse effects
  • Fracture Fixation, Intramedullary* / methods
  • Hip Fractures* / diagnostic imaging
  • Hip Fractures* / etiology
  • Hip Fractures* / surgery
  • Humans
  • Retrospective Studies
  • Treatment Outcome