{"id":"https://openalex.org/W7220463208","doi":"https://doi.org/10.3389/fsurg.2026.1889099","title":"Clinical outcomes of PFNA vs. long-stem hemiarthroplasty for unstable proximal femur fractures in older adults: a retrospective cohort study","display_name":"Clinical outcomes of PFNA vs. long-stem hemiarthroplasty for unstable proximal femur fractures in older adults: a retrospective cohort study","publication_year":2026,"publication_date":"2026-10-05","ids":{"openalex":"https://openalex.org/W7220463208","doi":"https://doi.org/10.3389/fsurg.2026.1889099","pmid":"https://pubmed.ncbi.nlm.nih.gov/42898348","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13677882"},"language":"en","primary_location":{"id":"doi:10.3389/fsurg.2026.1889099","doi":"https://doi.org/10.3389/fsurg.2026.1889099","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1889099","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1889099/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1889099/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5157618447","display_name":"Peiran Wei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405277390","display_name":"Nanjing First Hospital","ror":"https://ror.org/02hw73q19","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405277390"]},{"id":"https://openalex.org/I83519826","display_name":"Nanjing Medical University","ror":"https://ror.org/059gcgy73","country_code":"CN","type":"education","lineage":["https://openalex.org/I83519826"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Peiran Wei","raw_affiliation_strings":["Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University","institution_ids":["https://openalex.org/I4405277390","https://openalex.org/I83519826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157614481","display_name":"Weihang Zhu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405277390","display_name":"Nanjing First Hospital","ror":"https://ror.org/02hw73q19","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405277390"]},{"id":"https://openalex.org/I83519826","display_name":"Nanjing Medical University","ror":"https://ror.org/059gcgy73","country_code":"CN","type":"education","lineage":["https://openalex.org/I83519826"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Weihang Zhu","raw_affiliation_strings":["Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University","institution_ids":["https://openalex.org/I4405277390","https://openalex.org/I83519826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102228551","display_name":"Yan Xu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405277390","display_name":"Nanjing First Hospital","ror":"https://ror.org/02hw73q19","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405277390"]},{"id":"https://openalex.org/I83519826","display_name":"Nanjing Medical University","ror":"https://ror.org/059gcgy73","country_code":"CN","type":"education","lineage":["https://openalex.org/I83519826"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yan Xu","raw_affiliation_strings":["Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University","institution_ids":["https://openalex.org/I4405277390","https://openalex.org/I83519826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157559206","display_name":"Xuxiang Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405277390","display_name":"Nanjing First Hospital","ror":"https://ror.org/02hw73q19","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405277390"]},{"id":"https://openalex.org/I83519826","display_name":"Nanjing Medical University","ror":"https://ror.org/059gcgy73","country_code":"CN","type":"education","lineage":["https://openalex.org/I83519826"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Xuxiang Li","raw_affiliation_strings":["Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University","institution_ids":["https://openalex.org/I4405277390","https://openalex.org/I83519826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025245877","display_name":"Zhicheng Cao","orcid":"https://orcid.org/0000-0002-0368-8176","observed_orcids":["https://orcid.org/0000-0002-0368-8176"]},"institutions":[{"id":"https://openalex.org/I4405277390","display_name":"Nanjing First Hospital","ror":"https://ror.org/02hw73q19","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405277390"]},{"id":"https://openalex.org/I83519826","display_name":"Nanjing Medical University","ror":"https://ror.org/059gcgy73","country_code":"CN","type":"education","lineage":["https://openalex.org/I83519826"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Zhicheng Cao","raw_affiliation_strings":["Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University","institution_ids":["https://openalex.org/I4405277390","https://openalex.org/I83519826"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157619404","display_name":"Liming Wang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405277390","display_name":"Nanjing First Hospital","ror":"https://ror.org/02hw73q19","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405277390"]},{"id":"https://openalex.org/I83519826","display_name":"Nanjing Medical University","ror":"https://ror.org/059gcgy73","country_code":"CN","type":"education","lineage":["https://openalex.org/I83519826"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Liming Wang","raw_affiliation_strings":["Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University","institution_ids":["https://openalex.org/I4405277390","https://openalex.org/I83519826"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020106175","display_name":"Cheng Tang","orcid":"https://orcid.org/0000-0002-9981-4957","observed_orcids":["https://orcid.org/0000-0002-9981-4957"]},"institutions":[{"id":"https://openalex.org/I4405277390","display_name":"Nanjing First Hospital","ror":"https://ror.org/02hw73q19","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4405277390"]},{"id":"https://openalex.org/I83519826","display_name":"Nanjing Medical University","ror":"https://ror.org/059gcgy73","country_code":"CN","type":"education","lineage":["https://openalex.org/I83519826"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Cheng Tang","raw_affiliation_strings":["Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Orthopaedics, Nanjing First Hospital, Nanjing Medical University","institution_ids":["https://openalex.org/I4405277390","https://openalex.org/I83519826"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5020106175","https://openalex.org/A5157618447","https://openalex.org/A5157619404"],"corresponding_institution_ids":["https://openalex.org/I4405277390","https://openalex.org/I83519826"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.77452943,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"13","issue":null,"first_page":"1889099","last_page":"1889099"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.9951000213623047,"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":0.9951000213623047,"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/T10512","display_name":"Orthopaedic implants and arthroplasty","score":0.002300000051036477,"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":0.0017999999690800905,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/proximal-femoral-nail-antirotation","display_name":"proximal femoral nail antirotation","score":0.8799999952316284},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.5879999995231628},{"id":"https://openalex.org/keywords/osteoporosis","display_name":"osteoporosis","score":0.8730000257492065},{"id":"https://openalex.org/keywords/reoperation-rate","display_name":"reoperation rate","score":0.9409999847412109},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.6129999756813049},{"id":"https://openalex.org/keywords/harris-hip-score","display_name":"Harris hip score","score":0.8669999837875366},{"id":"https://openalex.org/keywords/functional-recovery","display_name":"functional recovery","score":0.8309999704360962},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.8399999737739563},{"id":"https://openalex.org/keywords/timing-of-surgery","display_name":"timing of surgery","score":0.3970000147819519},{"id":"https://openalex.org/keywords/hip-fracture-fixation","display_name":"hip fracture fixation","score":0.4300000071525574},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.34200000762939453},{"id":"https://openalex.org/keywords/geriatric-surgery","display_name":"geriatric surgery","score":0.33500000834465027}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9905999898910522},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.7856000065803528},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7538999915122986},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.7145000100135803},{"id":"https://openalex.org/C2776541429","wikidata":"https://www.wikidata.org/wiki/Q165328","display_name":"Osteoporosis","level":2,"score":0.5221999883651733},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.5041999816894531},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.38109999895095825},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.3677999973297119},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.33309999108314514},{"id":"https://openalex.org/C2775854910","wikidata":"https://www.wikidata.org/wiki/Q4844892","display_name":"Femoral neck","level":3,"score":0.328000009059906},{"id":"https://openalex.org/C92162645","wikidata":"https://www.wikidata.org/wiki/Q655955","display_name":"Intramedullary rod","level":2,"score":0.3260999917984009},{"id":"https://openalex.org/C2780012534","wikidata":"https://www.wikidata.org/wiki/Q4350503","display_name":"Femoral fracture","level":3,"score":0.31679999828338623},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.3156999945640564},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.29120001196861267},{"id":"https://openalex.org/C2778336525","wikidata":"https://www.wikidata.org/wiki/Q708178","display_name":"Arthroplasty","level":2,"score":0.2799000144004822},{"id":"https://openalex.org/C2776211809","wikidata":"https://www.wikidata.org/wiki/Q17021143","display_name":"Harris Hip Score","level":3,"score":0.2712000012397766},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.2703000009059906},{"id":"https://openalex.org/C2778885795","wikidata":"https://www.wikidata.org/wiki/Q240856","display_name":"Hip fracture","level":3,"score":0.26420000195503235},{"id":"https://openalex.org/C2779668873","wikidata":"https://www.wikidata.org/wiki/Q6693756","display_name":"Lower risk","level":3,"score":0.25769999623298645},{"id":"https://openalex.org/C2776283816","wikidata":"https://www.wikidata.org/wiki/Q332823","display_name":"Survival rate","level":2,"score":0.25130000710487366}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fsurg.2026.1889099","doi":"https://doi.org/10.3389/fsurg.2026.1889099","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1889099","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1889099/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13677882","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13677882/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13677882/pdf/fsurg-13-1889099.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":"Front Surg","raw_type":"Text"},{"id":"pmid:42898348","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42898348","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":"Frontiers in surgery","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:07a7236ec38f4ee1892b2992a2247c40","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/07a7236ec38f4ee1892b2992a2247c40","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Surgery, Vol 13 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fsurg.2026.1889099","doi":"https://doi.org/10.3389/fsurg.2026.1889099","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fsurg.2026.1889099","pdf_url":"https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2026.1889099/pdf","source":{"id":"https://openalex.org/S2595365928","display_name":"Frontiers in Surgery","issn_l":"2296-875X","issn":["2296-875X"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220463208.pdf","grobid_xml":"https://content.openalex.org/works/W7220463208.grobid-xml"},"referenced_works_count":31,"referenced_works":["https://openalex.org/W175660244","https://openalex.org/W386429784","https://openalex.org/W1205351037","https://openalex.org/W1983087888","https://openalex.org/W2029705416","https://openalex.org/W2035374177","https://openalex.org/W2093948624","https://openalex.org/W2110396808","https://openalex.org/W2147343371","https://openalex.org/W2566640318","https://openalex.org/W2597513086","https://openalex.org/W2800306313","https://openalex.org/W2895644821","https://openalex.org/W2951343264","https://openalex.org/W2982671562","https://openalex.org/W3044403945","https://openalex.org/W3094795765","https://openalex.org/W3110765393","https://openalex.org/W3126813393","https://openalex.org/W3141188502","https://openalex.org/W4280493095","https://openalex.org/W4283764950","https://openalex.org/W4309123378","https://openalex.org/W4323568253","https://openalex.org/W4385251972","https://openalex.org/W4386245411","https://openalex.org/W4409703194","https://openalex.org/W4412618529","https://openalex.org/W4412925543","https://openalex.org/W7123356996","https://openalex.org/W7133520935"],"related_works":["https://openalex.org/W2357977672","https://openalex.org/W7170750997","https://openalex.org/W2951343264","https://openalex.org/W6893037050","https://openalex.org/W2368950500","https://openalex.org/W2367753815","https://openalex.org/W4403053091","https://openalex.org/W7123868970","https://openalex.org/W6949288416","https://openalex.org/W2350382053"],"abstract_inverted_index":{"Objective":[0],"The":[1,48],"optimal":[2],"surgical":[3],"management":[4],"of":[5,28],"unstable":[6,246],"extracapsular":[7,247],"proximal":[8,29],"femur":[9],"fractures":[10],"(AO/OTA":[11],"types":[12],"A2":[13],"and":[14,65,89,121,125,158,184,206,236,261,289],"A3)":[15],"in":[16,43,134,171,218,279],"elderly":[17,282],"patients":[18,44,76,147,244],"with":[19,39,245,254],"osteoporosis":[20],"remains":[21],"controversial.":[22],"This":[23],"study":[24,71],"compared":[25,267],"clinical":[26],"outcomes":[27,58,107],"femoral":[30,41,248],"nail":[31],"antirotation":[32],"(PFNA)":[33],"vs.":[34,139,152,162,179,188,201,210],"primary":[35,49,277],"uncemented":[36],"bipolar":[37],"hemiarthroplasty":[38,101,251],"long":[40],"stem":[42],"aged":[45],"\u226575":[46],"years.":[47],"outcome":[50],"was":[51,72,132,169,252],"reoperation":[52,237,259],"rate":[53],"within":[54],"24":[55,126,196],"months;":[56],"secondary":[57],"included":[59,108],"perioperative":[60,109],"parameters,":[61,110],"functional":[62,111],"recovery,":[63,257],"complications":[64,232],"mortality.":[66],"Methods":[67],"A":[68],"retrospective":[69,287],"comparative":[70],"conducted":[73],"including":[74],"174":[75],"(mean":[77],"age":[78],"82.2":[79],"\u00b1":[80],"7.1":[81],"years,":[82],"61.5%":[83],"female)":[84],"treated":[85],"between":[86],"January":[87],"2018":[88],"December":[90],"2023.":[91],"Patients":[92],"underwent":[93],"either":[94],"PFNA":[95,136,225],"(":[96],"n":[97,103],"=":[98,104,191,204,213,234,239],"96)":[99],"or":[100],"(HA,":[102],"78).":[105],"Primary":[106],"recovery":[112],"[Harris":[113],"Hip":[114],"Score":[115],"(HHS),":[116],"Barthel":[117],"Index],":[118],"complications,":[119],"reoperations,":[120],"mortality":[122,208,266],"at":[123,175,195],"12":[124],"months.":[127,197],"Results":[128],"Mean":[129],"operative":[130],"time":[131],"shorter":[133],"the":[135,172,219,286],"group":[137,174],"(59.6":[138],"74.2":[140],"min,":[141],"P":[142,155,165,181,190,203,212],"<":[143,156,166,182],"0.001),":[144],"while":[145],"HA":[146,173,220],"achieved":[148],"earlier":[149],"ambulation":[150],"(2.8":[151],"6.2":[153],"days,":[154,164],"0.001)":[157,183],"full":[159],"weight-bearing":[160],"(4.2":[161],"62.8":[163],"0.001).":[167],"HHS":[168],"higher":[170],"3":[176],"months":[177,186],"(71.6":[178],"66.8,":[180],"6":[185],"(78.2":[187],"74.6,":[189],"0.004),":[192],"but":[193],"similar":[194],"Reoperation":[198],"rates":[199],"(7.7%":[200],"19.8%,":[202],"0.03)":[205],"2-year":[207,265],"(2.6%":[209],"11.5%,":[211],"0.02)":[214],"were":[215],"significantly":[216],"lower":[217,258,263],"group.":[221],"Multivariable":[222],"analysis":[223],"identified":[224],"as":[226,274,301],"an":[227,275],"independent":[228],"risk":[229],"factor":[230],"for":[231,291],"(OR":[233],"1.92)":[235],"(sHR":[238],"2.78).":[240],"Conclusions":[241],"In":[242],"geriatric":[243],"fractures,":[249],"long-stem":[250],"associated":[253],"faster":[255],"early":[256],"rates,":[260],"a":[262,302],"observed":[264,295],"to":[268],"PFNA,":[269],"which":[270,305],"may":[271],"be":[272,299,307],"considered":[273],"alternative":[276],"option":[278],"appropriately":[280],"selected":[281],"patients.":[283],"However,":[284],"given":[285],"design":[288],"potential":[290],"residual":[292],"confounding,":[293],"this":[294],"association":[296],"should":[297,306],"not":[298],"interpreted":[300],"causal":[303],"effect,":[304],"confirmed":[308],"by":[309],"future":[310],"prospective":[311],"randomized":[312],"trials.":[313]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-10-06T00:00:00"}
