Nighttime intramedullary nailing of femoral fractures is not associated with worse outcomes: a 13-year Level I trauma center cohort - Takeaways - MDSpire
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Nighttime Intramedullary Nailing for Femoral Fractures Shows Comparable Outcomes: Analysis from a 13-Year Level I Trauma Center Study

  • By

  • Artsiom Abialevich

  • Vadim Benkovich

  • Vladislav Osinsky

  • Yosef Adiniaev

  • Ilan Tzaytlin

  • Yotam Heinemann

  • Asaf Acker

  • August 29, 2026

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  • 1

    The study analyzed 288 adult femoral fracture procedures treated with intramedullary fixation between January 2010 and January 2023.

  • 2

    Nighttime procedures involved younger patients and higher rates of high-energy trauma compared to daytime procedures.

  • 3

    Demographic factors such as BMI, diabetes, and prior medical history showed no significant differences between daytime and nighttime cohorts.

  • 4

    The primary outcome measured was any postoperative complication, with secondary endpoints including radiographic abnormalities and specific complications.

  • 5

    Statistical analyses included multivariable logistic regression to assess the relationship between nighttime surgery and postoperative complications.

Original Source(s)

Nighttime intramedullary nailing of femoral fractures is not associated with worse outcomes: a 13-year Level I trauma center cohort

  • by Artsiom Abialevich, Vadim Benkovich, Vladislav Osinsky, Yosef Adiniaev, Ilan Tzaytlin, Yotam Heinemann, Asaf Acker

  • August 29, 2026

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