• Dustin B Rinehart, David E O'Neill, Jennifer W Liu, and Drew T Sanders.
• Department of Orthopaedic Surgery, UT Southwestern Medical Center, Dallas, TX.
• J Orthop Trauma. 2021 Jun 1; 35 (6): 329-332.

ObjectivesTo evaluate the need for reoperation of geriatric intertrochanteric hip fractures treated with 10-mm cephalomedullary nails versus those treated with nails larger than 10 mm.DesignRetrospective review at a single institution.SettingLevel I trauma center.Patients/ParticipantsAll patients age 60 and over treated with cephalomedullary fixation for an intertrochanteric femur fracture at a single institution.InterventionCephalomedullary fixation with variable nail diameters.Main Outcome MeasurementsReoperation rates of geriatric intertrochanteric fractures treated with a size 10-mm diameter cephalomedullary nail compared with patients treated with nails larger than 10 mm.ResultsThere were no significant differences in reoperation rates when the 10-mm cohort was compared with an aggregate cohort of all nails larger than 10 mm (P = 0.99). This result was true for both all-cause reoperation and noninfectious reoperation. There was no difference between cohorts in regards to age, gender, or fracture pattern.ConclusionsA 10-mm cephalomedullary nail can be used in lieu of a larger diameter fixation in patients age 60 and older with intertrochanteric femur fractures while still maintaining a comparable rate of reoperation.Level Of EvidencePrognostic Level III. See Instructions for Authors for a complete description of levels of evidence.Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.

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