Retrograde Intramedullary Nailing Versus Locked Plating for Periprosthetic Distal Femur Fractures: A Propensity-matched Cohort from TriNetX.

J Orthop Case Rep · 2026 · PMC12801253 · PMID 41541452

Europe PMC DOI

hedged sentences

0.0970

closest p · 1.9× alpha

0.0970

boldest claim

The sentences

did not reach statistical significanceP = 0.097so close (0.05 < p ≤ 0.1)

Although numerically lower with nails, this 1.6% absolute difference did not reach statistical significance (RD = −1.6%, 95% CI −3.4–+0.3%; P = 0.097).

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showed a trendno p-value reported

This likely explains why in our series and others, plates showed a trend toward more implant failures.

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