Cement-augmented cephalomedullary nail fixation for femoral trochanteric fractures: A modified delphi consensus amongst japanese expert surgeons

Japanese orthopaedic surgeons were largely aligned on patient selection, surgical approaches, post-operative care, rehabilitation, and expected outcomes of cement-augmented cephalomedullary nail fixation for femoral trochanteric fractures. When monitored, this technique lowers the potential risk of cement leakage and may also reduce complications, reoperation rates, and postoperative pain, while improving functional outcomes, indicating a favourable safety profile. This consensus serves as an important reference for orthopaedic surgeons in Japan and beyond, particularly given the growing concern over these fractures in Japan's ageing population and that of the wider region. However, consensus was not reached on some aspects due to the limited availability of Japan-specific evidence. Further studies on efficacy and safety outcomes, particularly among the Japanese population, are needed to establish best practices.

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Publication Details

Journal
Injury
Published
2025-12-04
DOI
https://doi.org/10.1016/j.injury.2025.112923
Primary Topic
Hip and Femur Fractures
Type
article
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Cement-augmented cephalomedullary nail fixation for femoral trochanteric fractures: A modified delphi consensus amongst japanese expert surgeons

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Cement-augmented cephalomedullary nail fixation for femoral trochanteric fractures: A modified delphi consensus amongst japanese expert surgeons

Tomoyuki Noda, Yasuhisa Ueda, Takashi Maehara, Kentaro Futamura, Shozo Kanezaki, Shimpei Kitada, Naofumi Shiota, Hiroaki Minehara, Masayuki Itô, Kenji Shigemoto, Chuji Terada, Takashi Iwakura, Takashi Miyamoto, Takeshi Sawaguchi, Tomohiro Matsumura
article en

Abstract

Japanese orthopaedic surgeons were largely aligned on patient selection, surgical approaches, post-operative care, rehabilitation, and expected outcomes of cement-augmented cephalomedullary nail fixation for femoral trochanteric fractures. When monitored, this technique lowers the potential risk of cement leakage and may also reduce complications, reoperation rates, and postoperative pain, while improving functional outcomes, indicating a favourable safety profile. This consensus serves as an important reference for orthopaedic surgeons in Japan and beyond, particularly given the growing concern over these fractures in Japan's ageing population and that of the wider region. However, consensus was not reached on some aspects due to the limited availability of Japan-specific evidence. Further studies on efficacy and safety outcomes, particularly among the Japanese population, are needed to establish best practices.

InjuryVol. 57(2)
Kagawa Junior College (JP), Fukushima Medical University (JP), Sanden (Japan) (JP), Jichi Medical University (JP), Oita University (JP), Kawasaki Medical School (JP), Toyama City Hospital (JP), Fukuyama City Hospital (JP), Nagasaki Medical Center (JP), Kagawa University Hospital (JP), Tsubame Rosai Hospital (JP), Shonan Kamakura General Hospital (JP), Okayama Medical Center (JP), Jichi Medical University Hospital (JP), Hyogo Prefectural Nishinomiya Hospital (JP), Saitama Medical University (JP)
Openalex Percentile: Top 42%
Hip and Femur Fractures
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