{"id":"https://openalex.org/W7220368591","doi":"https://doi.org/10.7759/cureus.117493","title":"Reverse Obliquity Intertrochanteric Hip Fractures: A Technique Guide for Using a Blocking Screw to Enhance Fixation","display_name":"Reverse Obliquity Intertrochanteric Hip Fractures: A Technique Guide for Using a Blocking Screw to Enhance Fixation","publication_year":2026,"publication_date":"2026-10-05","ids":{"openalex":"https://openalex.org/W7220368591","doi":"https://doi.org/10.7759/cureus.117493","pmid":"https://pubmed.ncbi.nlm.nih.gov/42985703","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13734396"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.117493","doi":"https://doi.org/10.7759/cureus.117493","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117493","pdf_url":"https://www.cureus.com/articles/527496-reverse-obliquity-intertrochanteric-hip-fractures-a-technique-guide-for-using-a-blocking-screw-to-enhance-fixation.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/527496-reverse-obliquity-intertrochanteric-hip-fractures-a-technique-guide-for-using-a-blocking-screw-to-enhance-fixation.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5157584344","display_name":"Nathan Forren","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122621","display_name":"St. Elizabeth Youngstown Hospital","ror":"https://ror.org/02c944e82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210122621","https://openalex.org/I4210165260"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Nathan Forren","raw_affiliation_strings":["Department of Orthopedic Surgery, St. Elizabeth Youngstown Hospital, Youngstown, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, St. Elizabeth Youngstown Hospital, Youngstown, USA","institution_ids":["https://openalex.org/I4210122621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5124828962","display_name":"Daniel Sabo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122621","display_name":"St. Elizabeth Youngstown Hospital","ror":"https://ror.org/02c944e82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210122621","https://openalex.org/I4210165260"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Sabo","raw_affiliation_strings":["Department of Orthopedic Surgery, St. Elizabeth Youngstown Hospital, Youngstown, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, St. Elizabeth Youngstown Hospital, Youngstown, USA","institution_ids":["https://openalex.org/I4210122621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5060489005","display_name":"Brent Whitehead","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122621","display_name":"St. Elizabeth Youngstown Hospital","ror":"https://ror.org/02c944e82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210122621","https://openalex.org/I4210165260"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brent Whitehead","raw_affiliation_strings":["Department of Orthopedic Surgery, St. Elizabeth Youngstown Hospital, Youngstown, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Surgery, St. Elizabeth Youngstown Hospital, Youngstown, USA","institution_ids":["https://openalex.org/I4210122621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157427357","display_name":"Vincenzo Gentile","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210106879","display_name":"Ohio University","ror":"https://ror.org/01jr3y717","country_code":"US","type":"education","lineage":["https://openalex.org/I4210106879"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vincenzo Gentile","raw_affiliation_strings":["Department of Medicine, Heritage College of Osteopathic Medicine, Ohio University, Warrensville Heights, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Medicine, Heritage College of Osteopathic Medicine, Ohio University, Warrensville Heights, USA","institution_ids":["https://openalex.org/I4210106879"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157507551","display_name":"Adam Hoffman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122621","display_name":"St. Elizabeth Youngstown Hospital","ror":"https://ror.org/02c944e82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210122621","https://openalex.org/I4210165260"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Adam Hoffman","raw_affiliation_strings":["Department of Orthopedic Trauma, St. Elizabeth Youngstown Hospital, Youngstown, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Trauma, St. Elizabeth Youngstown Hospital, Youngstown, USA","institution_ids":["https://openalex.org/I4210122621"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5009643635","display_name":"Tyson T. Schrickel","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122621","display_name":"St. Elizabeth Youngstown Hospital","ror":"https://ror.org/02c944e82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210122621","https://openalex.org/I4210165260"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Tyson Schrickel","raw_affiliation_strings":["Department of Orthopedic Trauma, St. Elizabeth Youngstown Hospital, Youngstown, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Trauma, St. Elizabeth Youngstown Hospital, Youngstown, USA","institution_ids":["https://openalex.org/I4210122621"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5042015885","display_name":"John V. Gentile","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122621","display_name":"St. Elizabeth Youngstown Hospital","ror":"https://ror.org/02c944e82","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210122621","https://openalex.org/I4210165260"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John V Gentile","raw_affiliation_strings":["Department of Orthopedic Trauma, St. Elizabeth Youngstown Hospital, Youngstown, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopedic Trauma, St. Elizabeth Youngstown Hospital, Youngstown, USA","institution_ids":["https://openalex.org/I4210122621"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5157584344"],"corresponding_institution_ids":["https://openalex.org/I4210122621"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77092129,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"18","issue":"10","first_page":"e117493","last_page":"e117493"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.7813000082969666,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.7813000082969666,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10658","display_name":"Bone fractures and treatments","score":0.2110999971628189,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12154","display_name":"Pelvic and Acetabular Injuries","score":0.002400000113993883,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hip-fracture","display_name":"hip fracture","score":0.7160000205039978},{"id":"https://openalex.org/keywords/blocking-screws","display_name":"blocking screws","score":0.9520000219345093},{"id":"https://openalex.org/keywords/intramedullary-nail","display_name":"intramedullary nail","score":0.8939999938011169},{"id":"https://openalex.org/keywords/cephalomedullary-nail","display_name":"cephalomedullary nail","score":0.8569999933242798},{"id":"https://openalex.org/keywords/fracture-reduction","display_name":"fracture reduction","score":0.6480000019073486},{"id":"https://openalex.org/keywords/fixation-stability","display_name":"fixation stability","score":0.6840000152587891},{"id":"https://openalex.org/keywords/proximal-femur","display_name":"proximal femur","score":0.8100000023841858}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9415000081062317},{"id":"https://openalex.org/C146249460","wikidata":"https://www.wikidata.org/wiki/Q2914991","display_name":"Fixation (population genetics)","level":3,"score":0.6589000225067139},{"id":"https://openalex.org/C144745244","wikidata":"https://www.wikidata.org/wiki/Q4927286","display_name":"Blocking (statistics)","level":2,"score":0.6453999876976013},{"id":"https://openalex.org/C29694066","wikidata":"https://www.wikidata.org/wiki/Q118301","display_name":"Orthodontics","level":1,"score":0.5982000231742859},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3531999886035919},{"id":"https://openalex.org/C136229726","wikidata":"https://www.wikidata.org/wiki/Q327092","display_name":"Biomedical engineering","level":1,"score":0.3425000011920929},{"id":"https://openalex.org/C199343813","wikidata":"https://www.wikidata.org/wiki/Q12128","display_name":"Dentistry","level":1,"score":0.3025999963283539},{"id":"https://openalex.org/C170700871","wikidata":"https://www.wikidata.org/wiki/Q193378","display_name":"Biomechanics","level":2,"score":0.26249998807907104},{"id":"https://openalex.org/C2776767379","wikidata":"https://www.wikidata.org/wiki/Q5318981","display_name":"Dynamic hip screw","level":3,"score":0.24660000205039978},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.23430000245571136}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.7759/cureus.117493","doi":"https://doi.org/10.7759/cureus.117493","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117493","pdf_url":"https://www.cureus.com/articles/527496-reverse-obliquity-intertrochanteric-hip-fractures-a-technique-guide-for-using-a-blocking-screw-to-enhance-fixation.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13734396","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13734396/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13734396/pdf/cureus-0018-00000117493.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Text"},{"id":"pmid:42985703","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42985703","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.7759/cureus.117493","doi":"https://doi.org/10.7759/cureus.117493","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.117493","pdf_url":"https://www.cureus.com/articles/527496-reverse-obliquity-intertrochanteric-hip-fractures-a-technique-guide-for-using-a-blocking-screw-to-enhance-fixation.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8048999905586243}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220368591.pdf","grobid_xml":"https://content.openalex.org/works/W7220368591.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W3119826633","https://openalex.org/W4382139361","https://openalex.org/W4386758065","https://openalex.org/W4392529530","https://openalex.org/W4406821176","https://openalex.org/W4415665646"],"related_works":["https://openalex.org/W1976941816","https://openalex.org/W2766785289","https://openalex.org/W2556803102","https://openalex.org/W4386758065","https://openalex.org/W4416273421","https://openalex.org/W2997435610","https://openalex.org/W2127087232","https://openalex.org/W2482387075","https://openalex.org/W7052908549","https://openalex.org/W2109271426"],"abstract_inverted_index":{"Reverse":[0],"oblique":[1],"(RO)":[2],"intertrochanteric":[3],"(IT)":[4],"femur":[5],"fractures":[6,74],"are":[7],"an":[8],"unstable":[9],"fracture":[10,46,145],"variant":[11],"because":[12],"of":[13,15,34,38,54,79,86,108,124],"loss":[14,53],"lateral-wall":[16],"support,":[17],"making":[18],"cephalomedullary":[19],"nail":[20,40,81,104],"(CMN)":[21],"fixation":[22,57,148],"the":[23,31,39,42,80,83,87,102,116,125],"preferred":[24],"implant":[25],"strategy":[26],"for":[27,121],"these":[28],"fractures.":[29],"Despite":[30],"biomechanical":[32,133],"advantages":[33],"CMNs,":[35],"lateral":[36],"migration":[37],"within":[41],"canal":[43,90],"may":[44],"permit":[45],"shear":[47,94],"during":[48],"weight-bearing":[49],"and":[50,91,110,119,147],"contribute":[51],"to":[52,75,101,105,140],"reduction":[55,109],"or":[56,132],"failure.":[58],"The":[59,96],"technique":[60],"discussed":[61],"in":[62,70,82],"this":[63,93],"article":[64],"describes":[65,115],"using":[66],"a":[67],"blocking":[68],"screw":[69,97],"RO":[71],"IT":[72],"hip":[73],"limit":[76],"potential":[77],"lateralization":[78],"distal":[84],"aspect":[85],"proximal":[88],"femoral":[89],"neutralize":[92],"tendency.":[95],"is":[98,138],"placed":[99],"adjacent":[100],"intramedullary":[103],"support":[106],"maintenance":[107],"alignment.":[111],"This":[112],"technical":[113],"guide":[114],"operative":[117],"steps":[118],"considerations":[120],"selective":[122],"use":[123],"screw;":[126],"it":[127],"does":[128],"not":[129],"present":[130],"clinical":[131],"outcome":[134],"data.":[135],"Further":[136],"study":[137],"needed":[139],"determine":[141],"its":[142],"effect":[143],"on":[144],"healing":[146],"stability.":[149]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2026-10-06T00:00:00"}