Fractures around Trochanteric Nails: The “Vergilius Classification System”
Table 1
Open question answers and grade of consensus.
Question
Answer
Grade of consensus (%)
Is the definition of perinail fracture a fracture occurred around or next to an implanted nail?
Yes
100
Is fracture localization (around the nail (namely, from the cephalic to the distal screw), around the distal screw, distal from the tip of the nail) a pivotal factor for PNF management?
Yes
98
Is fracture morphology (spiral, oblique, and transverse), as defined by AO, a pivotal factor for PNF management?
Yes
98
Is the fracture fragmentation (number of fragments (2, 3, and more than 3 fragments)) a pivotal factor for PNF management?
Yes
92
Is the healing status of the previous EF (healed or not healed) a pivotal factor for PNF management?
Yes
92
Is the type of implanted TN (namely, biaxial or monoaxial) a pivotal factor for PNF management?
No
100
Is TN length (short or long using 300 mm as a threshold) a pivotal factor for PNF management?
Yes
50
Do you think that the currently available classification systems are useful for the management of PNFs?
