SICOT-J
Smoking and injury severity score predict major complications after surgical treatment of ipsilateral proximal and shaft femoral fractures
By Longo LH, Valenza WR, Vogt PH and 5 others.
Abstract
Introduction
Ipsilateral proximal and shaft femoral fractures are rare, high-energy injuries associated with substantial morbidity. Evidence on predictors of adverse outcomes after surgical treatment remains limited.
Methods
We conducted a retrospective cohort study at a tertiary trauma center including all skeletally mature patients who underwent surgical treatment for ipsilateral proximal femoral fractures (femoral neck or trochanteric region) associated with femoral shaft fractures between January 2019 and December 2024. The primary outcome was a composite of major complications, including deep surgical site infection, delayed union, nonunion, symptomatic pulmonary embolism, or all-cause mortality. Bivariable analyses were performed to compare patients with and without major complications, followed by multivariable logistic regression to identify independent predictors.
