Retrospective study of 127 geriatric patients with unstable AO/OTA 31A2.2/2.3 pertrochanteric fractures treated with cephalomedullary nail. Introduces a three-tier classification of medial cortical support on postoperative AP radiographs — positive, neutral, and negative — and asks whether intentional superomedial displacement of the head–neck fragment (positive support) produces better mechanical and functional outcomes than anatomic or lateralized reduction.
Retrospective study of 127 geriatric patients with unstable AO/OTA 31A2.2/2.3 pertrochanteric fractures treated with cephalomedullary nail. Introduces a three-tier classification of medial cortical support on postoperative AP radiographs — positive, neutral, and negative — and asks whether intentional superomedial displacement of the head–neck fragment (positive support) produces better mechanical and functional outcomes than anatomic or lateralized reduction.