Peri-implant femoral fractures around intramedullary nails: current management strategies and outcomes—a narrative review
There is no definitive consensus on the optimal surgical treatment of "around the nail" femoral fractures. Treatment choice is influenced by fracture location, implant stability, and patient comorbidities. Plating, nail revision, and prosthetic replacement each carry specific risks and benefits. The high complication and mortality rates, along with variability in outcomes, highlight the need for standardized classification systems and high-quality comparative studies to guide treatment in this challenging clinical scenario.
Authors
- Raffaele Vitiello (ORCID: https://orcid.org/0000-0003-2321-9665)
- Alessandro El Motassime (ORCID: https://orcid.org/0009-0001-8331-0826)
- Giulio Maccauro (ORCID: https://orcid.org/0000-0002-7359-268X)
- Davide Messina (ORCID: https://orcid.org/0000-0003-3813-5501)
- Giacomo Capece (ORCID: https://orcid.org/0009-0000-9565-6691)
- Emidio Di Gialleonardo
- Guido Bocchino (ORCID: https://orcid.org/0009-0000-4591-4015)
Institutions
- Università Cattolica del Sacro Cuore (IT)
- University of the Sacred Heart (JP)
Publication Details
- Journal
- Journal of Orthopaedic Surgery and Research
- Published
- 2025-11-21
- DOI
- https://doi.org/10.1186/s13018-025-06460-1
- Primary Topic
- Bone fractures and treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00