{"id":10103,"date":"2026-09-22T09:43:31","date_gmt":"2026-09-22T08:43:31","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=10103"},"modified":"2026-09-22T09:52:00","modified_gmt":"2026-09-22T08:52:00","slug":"trochanteric-buttress-plate-augmentation-of-the-proximal-femoral-nail-for-unstable-intertrochanteric-fractures-a-randomized-controlled-trial-2026","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2026\/09\/22\/trochanteric-buttress-plate-augmentation-of-the-proximal-femoral-nail-for-unstable-intertrochanteric-fractures-a-randomized-controlled-trial-2026\/","title":{"rendered":"Trochanteric Buttress Plate Augmentation of the Proximal Femoral Nail for Unstable Intertrochanteric Fractures: A Randomized Controlled Trial (2026)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Type of publication:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Randomised controlled trial<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Author(s):<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">*Abdelaty Shalaby, Mohamed H; *Khafagy, Doaa G; Hosny, Mohamed M; Eltantawy, Ahmed E; Omran, Ali M.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Citation:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cureus. 18(2):e104235, 2026 Feb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Abstract:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">BACKGROUND: Unstable intertrochanteric (IT) fractures pose a significant challenge in orthopedic surgery.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">OBJECTIVE: To investigate the effectiveness of combining a trochanteric buttress plate (TBP) with a proximal femoral nail (PFN) for managing unstable IT fractures.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">METHODS: This randomized controlled open-label study was performed on 90 patients with recent unstable IT fractures (Evans types 1c, 1d, 1e, or 2). Patients were randomly divided into two groups: Group A was treated with standard PFN fixation. Group B was treated with PFN integrated with TBP augmentation. Assessments were conducted at two weeks and monthly for six months. Functional outcomes were assessed using the modified Harris Hip Score (mHHS).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">RESULTS: Operative time and blood loss were significantly higher in Group B (PFN+TBP) than in Group A (standard PFN) (P = 0.005 and 0.006, respectively). Postoperative mHHS was significantly higher in Group B at all follow-up intervals from two weeks to six months (P &lt; 0.05).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CONCLUSIONS: The integration of the TBP with PFN for unstable IT fractures significantly improves functional outcomes without increasing major complications, despite a modest increase in operative time and blood loss.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>DOI:&nbsp;<\/strong>10.7759\/cureus.104235<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.cureus.com\/articles\/447914-trochanteric-buttress-plate-augmentation-of-the-proximal-femoral-nail-for-unstable-intertrochanteric-fractures-a-randomized-controlled-trial#!\/\">Link to full-text<\/a> [open access - no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication: Randomised controlled trial Author(s): *Abdelaty Shalaby, Mohamed H; *Khafagy, Doaa G; Hosny, Mohamed M; Eltantawy, Ahmed E; Omran, Ali M. Citation: Cureus. 18(2):e104235, 2026 Feb. Abstract: BACKGROUND: Unstable intertrochanteric (IT) fractures pose a significant challenge in orthopedic<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2026\/09\/22\/trochanteric-buttress-plate-augmentation-of-the-proximal-femoral-nail-for-unstable-intertrochanteric-fractures-a-randomized-controlled-trial-2026\/\">Read more <span class=\"screen-reader-text\">Trochanteric Buttress Plate Augmentation of the Proximal Femoral Nail for Unstable Intertrochanteric Fractures: A Randomized Controlled Trial (2026)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1001,200],"tags":[1106,1002,994],"class_list":["post-10103","post","type-post","status-publish","format-standard","hentry","category-open-access","category-staff-publication","tag-1106","tag-gold-open-access","tag-trauma-and-orthopaedics"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10103","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=10103"}],"version-history":[{"count":2,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10103\/revisions"}],"predecessor-version":[{"id":10109,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/10103\/revisions\/10109"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=10103"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=10103"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=10103"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}