Fractures around Trochanteric Nails: The “Vergilius Classification System”
Table 2
Statements on the management of PNFs.
Statement
Description
Statement #1
Fracture localization is a pivotal factor for PNF management. The fixation device used depends largely on the part of the femur involved by the fracture line and its relationship with the implanted nail.
Statement #2
Fracture morphology is a pivotal factor for PNF management, considering the fracture intrinsic stability. The description of fracture line orientation made by AO is appropriate for the definition of PNF morphology.
Statement #3
Fracture fragmentation is a pivotal factor for PNF management.
Statement #4
The healing status of the previous EF is a pivotal factor for PNF management as it can significantly reduce treatment options.
Statement #5
The type of implanted TN is not a pivotal factor for PNF management.
Statement #6
TN length may affect the fracture pattern, but it is unclear if it acts on PNF management.
Statement #7
The available classification systems are not useful for guiding the treatment decision making of PNFs
