Treatment of peritrochanteric fractures with the Endovis BA cephalomedullary nail: Multicenter study of 1091 patients

V. Caiaffa, D. Vita, R. Laforgia, G. Sessa, R. Varsalona, M. Girolami, D. Dallari, G. Mignani, G. Turi, A. Micaglio, M. Manca, A. Sancin

Research output: Contribution to journalArticlepeer-review


Treatment of peritrochanteric fractures involves reduction and synthesis using reconstruction plates and screws, intramedullary or cephalomedullary nails, or external fixators. A new cephalomedullary nail, Endovis BA (Citieffe, Italy), made of titanium alloy implanted without reaming and is fixed with 2 cephalic screws was used to treat 1091 patients with lateral fractures of the femoral neck (AO class 31-A). The patients had a mean age of 75 years (range, 48-99 years), and 83% had one or more systemic comorbidities. Mean operative time was 35 min (range, 20-100 min), and 483 patients (44.3%) required transfusion of one or more units of blood. The nail was implanted without distal blockage in 886 patients (81.2%) and without reaming in 1081 patients (99.1%). Intra-operative complications were recorded in 28 patients (2.6%). At the 6-month follow-up, 128 patients (12%) had died from causes unrelated to the surgery. Of the remaining 963 patients, 632 (65.6%) could walk independently, 249 (25.9%) could walk with assistance, and 82 (8.5%) could not walk. Postoperative complications were recorded in 38 patients (3.5%); most common complications were cut-out (10 cases), loss of reduction (8 cases) and prominent screws (6 cases). In conclusion the Endovis BA nail seems to be a reliable choice for the treatment of lateral fractures of the femoral neck, especially considering the short operating time and low rate of complications.

Original languageEnglish
Pages (from-to)111-116
Number of pages6
JournalJournal of Orthopaedics and Traumatology
Issue number3
Publication statusPublished - Sep 2007


  • Femoral neck
  • Intramedullary nailing
  • Peritrochanteric fractures

ASJC Scopus subject areas

  • Surgery


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