Cable-Plate augmentation improves the therapeutic effect of intramedullary nailing for AO/OTA type A2.3 intertrochanteric fractures with large coronal fragments: a double-center retrospective study - Takeaways - MDSpire

Cable-Plate augmentation improves the therapeutic effect of intramedullary nailing for AO/OTA type A2.3 intertrochanteric fractures with large coronal fragments: a double-center retrospective study

  • By

  • Guofeng Huang

  • Zhangxin Chen

  • Ling Yu

  • Haimeng Chu

  • Jingteng Chen

  • Xiaolong Cai

  • Taoyi Cai

  • Weichun Guo

  • Hui Liu

  • May 15, 2026

  • 0 min

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  • 1

    Intramedullary nailing is the standard treatment for AO/OTA type A2.3 intertrochanteric fractures, but failure rates are high with significant coronal fragments.

  • 2

    A dual-center retrospective study compared traditional PFNA fixation to a cable-plate augmentation method in elderly patients with displaced coronal fragments.

  • 3

    The cable-plate augmentation group had longer operative times and increased blood loss but showed significantly better rehabilitation outcomes.

  • 4

    Enhanced fixation led to lower postoperative VAS scores, earlier weight-bearing, faster radiographic union, and reduced complication rates.

  • 5

    Overall, cable-plate augmentation markedly improves stability and functional recovery in complex intertrochanteric fractures compared to traditional methods.

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