{"id":"https://openalex.org/W7223383207","doi":"https://doi.org/10.1177/21514593261499010","title":"Association of CT-Derived Psoas Muscle Parameters and Trochanteric Subcutaneous Fat Thickness With Intertrochanteric Fracture Stability in Older Adults","display_name":"Association of CT-Derived Psoas Muscle Parameters and Trochanteric Subcutaneous Fat Thickness With Intertrochanteric Fracture Stability in Older Adults","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7223383207","doi":"https://doi.org/10.1177/21514593261499010"},"language":"en","primary_location":{"id":"doi:10.1177/21514593261499010","doi":"https://doi.org/10.1177/21514593261499010","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21514593261499010","pdf_url":null,"source":{"id":"https://openalex.org/S32190847","display_name":"Geriatric Orthopaedic Surgery & Rehabilitation","issn_l":"2151-4585","issn":["2151-4585","2151-4593"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Geriatric Orthopaedic Surgery &amp; Rehabilitation","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1177/21514593261499010","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5119580960","display_name":"\u0130brahim Halil Dadir","orcid":"https://orcid.org/0000-0002-7892-1745","observed_orcids":["https://orcid.org/0000-0002-7892-1745"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"\u0130brahim Halil Dadir","raw_affiliation_strings":["Van Training and Research Hospital"],"raw_orcid":"https://orcid.org/0000-0002-7892-1745","affiliations":[{"raw_affiliation_string":"Van Training and Research Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073380150","display_name":"\u0130smail Duran","orcid":"https://orcid.org/0009-0005-3888-9743","observed_orcids":["https://orcid.org/0009-0005-3888-9743"]},"institutions":[{"id":"https://openalex.org/I4210104100","display_name":"Dr L\u00fctfi K\u0131rdar Kartal E\u011fitim ve Ara\u015ft\u0131rma Hastanesi","ror":"https://ror.org/01c2wzp81","country_code":"TR","type":"healthcare","lineage":["https://openalex.org/I4210104100"]}],"countries":["TR"],"is_corresponding":false,"raw_author_name":"\u0130smail Duran","raw_affiliation_strings":["Kartal L\u00fctfi K\u0131rdar City Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kartal L\u00fctfi K\u0131rdar City Hospital","institution_ids":["https://openalex.org/I4210104100"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5141297425","display_name":"Adnan Arslan","orcid":"https://orcid.org/0009-0006-3119-6239","observed_orcids":["https://orcid.org/0009-0006-3119-6239"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Adnan Arslan","raw_affiliation_strings":["Van Training and Research Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Van Training and Research Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031694573","display_name":"Yunus Oklu","orcid":"https://orcid.org/0000-0002-9172-8528","observed_orcids":["https://orcid.org/0000-0002-9172-8528"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yunus Oklu","raw_affiliation_strings":["Van Training and Research Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Van Training and Research Hospital","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5007691664","display_name":"Yunus Can \u00dcnal","orcid":"https://orcid.org/0009-0001-6733-4211","observed_orcids":["https://orcid.org/0009-0001-6733-4211"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yunus Can \u00dcnal","raw_affiliation_strings":["Van Training and Research Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Van Training and Research Hospital","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5040637407","display_name":"\u00d6mer Faruk Y\u0131ld\u0131r\u0131m","orcid":"https://orcid.org/0009-0003-8867-2193","observed_orcids":["https://orcid.org/0009-0003-8867-2193"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"\u00d6mer Faruk Y\u0131ld\u0131r\u0131m","raw_affiliation_strings":["Van Training and Research Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Van Training and Research Hospital","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5119580960"],"corresponding_institution_ids":[],"apc_list":{"value":2650,"currency":"USD","value_usd":2650},"apc_paid":{"value":2650,"currency":"USD","value_usd":2650},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.83326044,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11509","display_name":"Hip and Femur Fractures","score":0.9970999956130981,"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":0.9970999956130981,"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":0.0008999999845400453,"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/T10071","display_name":"Bone health and osteoporosis research","score":0.000699999975040555,"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/intertrochanteric-fracture","display_name":"intertrochanteric fracture","score":0.8769999742507935},{"id":"https://openalex.org/keywords/fracture-stability","display_name":"fracture stability","score":0.9070000052452087},{"id":"https://openalex.org/keywords/psoas-muscle-cross-sectional-area","display_name":"psoas muscle cross-sectional area","score":0.9070000052452087},{"id":"https://openalex.org/keywords/ct-derived-body-composition","display_name":"CT-derived body composition","score":0.824999988079071},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.828000009059906},{"id":"https://openalex.org/keywords/hip-fracture","display_name":"hip fracture","score":0.6399999856948853},{"id":"https://openalex.org/keywords/frailty","display_name":"frailty","score":0.6129999756813049},{"id":"https://openalex.org/keywords/low-energy-falls","display_name":"low-energy falls","score":0.4560000002384186},{"id":"https://openalex.org/keywords/ao-ota-classification","display_name":"AO/OTA classification","score":0.8539999723434448},{"id":"https://openalex.org/keywords/hip-fracture-surgery","display_name":"hip fracture surgery","score":0.3610000014305115},{"id":"https://openalex.org/keywords/preoperative-imaging-biomarkers","display_name":"preoperative imaging biomarkers","score":0.5690000057220459},{"id":"https://openalex.org/keywords/muscle-mass","display_name":"muscle mass","score":0.35499998927116394},{"id":"https://openalex.org/keywords/subcutaneous-adipose-tissue","display_name":"subcutaneous adipose tissue","score":0.6480000019073486},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.5440000295639038}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9269999861717224},{"id":"https://openalex.org/C3019737254","wikidata":"https://www.wikidata.org/wiki/Q240856","display_name":"Intertrochanteric fracture","level":3,"score":0.6389999985694885},{"id":"https://openalex.org/C2780554211","wikidata":"https://www.wikidata.org/wiki/Q176503","display_name":"Femur","level":2,"score":0.5471000075340271},{"id":"https://openalex.org/C2776214593","wikidata":"https://www.wikidata.org/wiki/Q1787939","display_name":"Sarcopenia","level":2,"score":0.5424000024795532},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5286999940872192},{"id":"https://openalex.org/C2909911338","wikidata":"https://www.wikidata.org/wiki/Q5411724","display_name":"Psoas Muscles","level":2,"score":0.525600016117096},{"id":"https://openalex.org/C2776541429","wikidata":"https://www.wikidata.org/wiki/Q165328","display_name":"Osteoporosis","level":2,"score":0.46140000224113464},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.4361000061035156},{"id":"https://openalex.org/C3018861615","wikidata":"https://www.wikidata.org/wiki/Q1164665","display_name":"Subcutaneous fat","level":3,"score":0.4075999855995178},{"id":"https://openalex.org/C2780221984","wikidata":"https://www.wikidata.org/wiki/Q131191","display_name":"Body mass index","level":2,"score":0.36149999499320984},{"id":"https://openalex.org/C2778885795","wikidata":"https://www.wikidata.org/wiki/Q240856","display_name":"Hip fracture","level":3,"score":0.3366999924182892},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.3285999894142151},{"id":"https://openalex.org/C2992343062","wikidata":"https://www.wikidata.org/wiki/Q1048687","display_name":"Muscle mass","level":2,"score":0.2964000105857849},{"id":"https://openalex.org/C2779329777","wikidata":"https://www.wikidata.org/wiki/Q2304401","display_name":"Bone density","level":3,"score":0.2865000069141388},{"id":"https://openalex.org/C2992660301","wikidata":"https://www.wikidata.org/wiki/Q4350503","display_name":"Femur fracture","level":3,"score":0.28519999980926514},{"id":"https://openalex.org/C2780012534","wikidata":"https://www.wikidata.org/wiki/Q4350503","display_name":"Femoral fracture","level":3,"score":0.2800000011920929},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.274399995803833},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.259799987077713},{"id":"https://openalex.org/C8337478","wikidata":"https://www.wikidata.org/wiki/Q1777289","display_name":"Bone healing","level":2,"score":0.2526000142097473},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.25119999051094055}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1177/21514593261499010","doi":"https://doi.org/10.1177/21514593261499010","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21514593261499010","pdf_url":null,"source":{"id":"https://openalex.org/S32190847","display_name":"Geriatric Orthopaedic Surgery & Rehabilitation","issn_l":"2151-4585","issn":["2151-4585","2151-4593"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Geriatric Orthopaedic Surgery &amp; Rehabilitation","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:c0feaf6dfe754d20ba7e6a01dcd5dc3b","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/c0feaf6dfe754d20ba7e6a01dcd5dc3b","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":"Geriatric Orthopaedic Surgery & Rehabilitation, Vol 17 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1177/21514593261499010","doi":"https://doi.org/10.1177/21514593261499010","is_oa":true,"landing_page_url":"https://doi.org/10.1177/21514593261499010","pdf_url":null,"source":{"id":"https://openalex.org/S32190847","display_name":"Geriatric Orthopaedic Surgery & Rehabilitation","issn_l":"2151-4585","issn":["2151-4585","2151-4593"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Geriatric Orthopaedic Surgery &amp; Rehabilitation","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9922999739646912,"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":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":23,"referenced_works":["https://openalex.org/W2015313580","https://openalex.org/W2032517287","https://openalex.org/W2039180833","https://openalex.org/W2101398993","https://openalex.org/W2144687515","https://openalex.org/W2318589621","https://openalex.org/W2327037637","https://openalex.org/W2777366205","https://openalex.org/W2918533893","https://openalex.org/W2949978883","https://openalex.org/W3108202413","https://openalex.org/W4200419720","https://openalex.org/W4214550076","https://openalex.org/W4296462170","https://openalex.org/W4310640238","https://openalex.org/W4311967276","https://openalex.org/W4367337241","https://openalex.org/W4386705891","https://openalex.org/W4390707026","https://openalex.org/W4403366678","https://openalex.org/W7123355793","https://openalex.org/W7155201535","https://openalex.org/W7161384536"],"related_works":["https://openalex.org/W7221141124","https://openalex.org/W2318589621","https://openalex.org/W7213931192","https://openalex.org/W2109257284","https://openalex.org/W4403627512","https://openalex.org/W4296462170","https://openalex.org/W2057527999","https://openalex.org/W2949978883","https://openalex.org/W4220977136","https://openalex.org/W3133480807"],"abstract_inverted_index":{"Background":[0],"Unstable":[1],"intertrochanteric":[2,65,82,255],"femur":[3,83],"fractures":[4,84,154,169],"are":[5],"associated":[6,219,231,252],"with":[7,37,64,162,167,220,232,253],"increased":[8],"morbidity":[9],"and":[10,31,58,92,118,143,155,180,208,226,246,272],"more":[11],"complex":[12],"surgical":[13],"management":[14],"than":[15],"stable":[16,99,153,164],"fractures.":[17,66,160],"Although":[18],"computed":[19],"tomography":[20],"(CT)-derived":[21],"body":[22,139],"composition":[23],"parameters":[24],"have":[25],"been":[26],"linked":[27],"to":[28,45,105],"frailty,":[29],"mortality,":[30],"hip":[32],"fracture":[33,38,59,221,233,256,277],"risk,":[34],"their":[35],"association":[36],"stability":[39,60],"remains":[40],"unclear.":[41],"This":[42,68],"study":[43,71],"aimed":[44],"investigate":[46],"the":[47,106,163,264],"relationship":[48],"between":[49,89],"CT-derived":[50],"psoas":[51,110,115,178,181,201,209,243,248,273],"muscle":[52,111,116,182,210,244,249,274],"measurements,":[53],"trochanteric":[54,119,173,237,268],"subcutaneous":[55,120,174,191,238,269],"fat":[56,121,175,192,239,270],"thickness,":[57,176,240],"in":[61,258,276],"older":[62,259],"adults":[63],"Methods":[67],"retrospective":[69],"cohort":[70],"included":[72],"154":[73],"patients":[74,150,166],"aged":[75],"\u226565":[76],"years":[77],"who":[78],"underwent":[79],"surgery":[80],"for":[81,136],"following":[85],"low-energy":[86],"same-level":[87],"falls":[88],"January":[90,93],"2021":[91],"2024.":[94],"Fractures":[95],"were":[96,123,217,228,251],"classified":[97],"as":[98],"(31-A1)":[100],"or":[101],"unstable":[102,159,168,254],"(31-A2/A3)":[103],"according":[104],"AO/OTA":[107],"classification.":[108],"Total":[109],"cross-sectional":[112],"area":[113],"(CSA),":[114],"attenuation,":[117],"thickness":[122,193,271],"measured":[124],"on":[125],"preoperative":[126],"CT":[127],"images.":[128],"Multivariate":[129],"logistic":[130],"regression":[131],"was":[132],"performed":[133],"after":[134],"adjustment":[135],"age,":[137],"sex,":[138,224],"mass":[140],"index":[141],"(BMI),":[142],"Charlson":[144],"Comorbidity":[145],"Index":[146],"(CCI).":[147],"Results":[148],"Seventy-five":[149],"(48.7%)":[151],"had":[152,158,170],"79":[156],"(51.3%)":[157],"Compared":[161],"group,":[165],"significantly":[171,218,230],"lower":[172,247],"total":[177,200,242],"CSA,":[179,245],"attenuation":[183,211,250],"(all":[184],"p":[185],"<":[186],"0.001).":[187],"In":[188],"multivariate":[189],"analysis,":[190],"(OR=0.888,":[194],"95%":[195,204,213],"CI:":[196,205,214],"0.841\u20130.937;":[197],"p<":[198],"0.001),":[199],"CSA":[202],"(OR=0.809,":[203],"0.701\u20130.932;":[206],"p=0.003),":[207],"(OR=0.886,":[212],"0.816\u20130.962;":[215],"p=0.004)":[216],"instability.":[222,234,278],"Age,":[223],"BMI,":[225],"CCI":[227],"not":[229],"Conclusion":[235],"Lower":[236],"reduced":[241],"patterns":[257],"adults.":[260],"These":[261],"findings":[262],"highlight":[263],"potential":[265],"role":[266],"of":[267],"characteristics":[275]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2026-10-24T00:00:00"}