Risk factors for cut-out of double lag screw fixation in proximal femoral fractures
Objective: We assessed factors associated with cut-out after internal xation of proximal femoral fractures using double lag screw nails.
Patients and methods: Patients with non-pathological intertrochanteric femur fractures and a minumum 90 days follow-up who underwent internal xation with dual lag screw nails were included. Potential risk factors for lag screw cut-out investigated by our study were: age, gender, body mass index, comorbidities (American Society of Anesthesiologists [ASA] classi cation), type of fracture (AO/OTA classi cation), fracture stability, side, operation time, implant length, reduction quality, tip-apex distance (TAD), and lag screw con guration. Logistic regression was used to investigate potential predictors of screw cut-out.
Results: Eightyfive of the 118 patients with hip fractures treated between February 2010 and November 2013 at our institution met the inclusion criteria for the study. Fifty-eight patients were female (68.2%), mean age was 77.4 (range: 50 95 years), mean follow up was 380 days (range: 150 days-2.5 years), and cut of was observed in 9 patients (10.5%). The following variables identfied through univariate analysis with p < 0.2 were included in multivariant logistic regression model: age, side, reduction quality, implant length, TAD and ASA score. Only TAD (p = 0.003) was found to be signi cant in the multivariant model.
Conclusions: Our study con rmed that risk factors for cut-out with single-lag screw devices are also applicable to dual-lag screw implants. We found that TAD was a signficant factor for cut-out in dual-lag screw implants. Thus, screw cut-out can be minimized by optimizing screw position.
