Cement-augmented cephalomedullary nail fixation for femoral trochanteric fractures: A modified delphi consensus amongst japanese expert surgeons

Japanese orthopaedic surgeons were largely aligned on patient selection, surgical approaches, post-operative care, rehabilitation, and expected outcomes of cement-augmented cephalomedullary nail fixation for femoral trochanteric fractures. When monitored, this technique lowers the potential risk of cement leakage and may also reduce complications, reoperation rates, and postoperative pain, while improving functional outcomes, indicating a favourable safety profile. This consensus serves as an important reference for orthopaedic surgeons in Japan and beyond, particularly given the growing concern over these fractures in Japan's ageing population and that of the wider region. However, consensus was not reached on some aspects due to the limited availability of Japan-specific evidence. Further studies on efficacy and safety outcomes, particularly among the Japanese population, are needed to establish best practices.