Determinants of mortality following intertrochanteric fractures, comorbidities versus reduction quality: retrospective cohort study

Mortality following intertrochanteric femoral fractures is largely determined by patient-related systemic factors, particularly heart failure and dementia, rather than fracture type or reduction quality. While optimal reduction remains essential for mechanical stability, improving survival outcomes in this patient population requires a focus on perioperative medical optimization and comprehensive management of comorbidities.