Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note.

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2023-01-01 DOI:10.1051/sicotj/2023005
Panagiotis Karampinas, Athanasios Galanis, Eftychios Papagrigorakis, Michail Vavourakis, Anastasia Krexi, Spiros Pneumaticos, John Vlamis
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引用次数: 0

Abstract

Cephalomedullary nailing of unstable intertrochanteric fractures has been established as a fruitful surgical approach with relatively limited complications. Anatomic fracture reduction and proper implant positioning are vital to attaining a favorable long-term surgical outcome. Appropriate intraoperative fracture compression augments stability and invigorates healing. The amount of compression permitted by cephalomedullary nails cannot always adequately reduce large fragment gaps. This paper presents a novel technical trick of double compression of the fracture site, in order to achieve the essential extra compression and reduction when required, thus decreasing the risk of postoperative implant cut-out. The technique was used in 14 out of 277 peritrochanteric fractures treated with cephalomedullary nailing in our trauma center for 12 months, with satisfactory outcomes regarding both fracture site union and postoperative functional capacity.

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双拉力螺钉加压固定大碎片间隙转子间骨折的最佳方法:技术注意事项。
颅髓内钉治疗不稳定粗隆间骨折是一种有效的手术方法,并发症相对较少。解剖骨折复位和正确的植入物定位对于获得良好的长期手术结果至关重要。术中适当的骨折压迫可增加稳定性并促进愈合。头髓钉允许的压缩量不能总是充分减少大碎片间隙。本文提出了一种新的技术手法,即对骨折部位进行双重压迫,以便在需要时进行必要的额外压迫和复位,从而降低术后种植体切出的风险。我们创伤中心对277例股骨粗隆周围骨折进行了为期12个月的头髓内钉治疗,其中14例采用了该技术,在骨折部位愈合和术后功能恢复方面均取得了令人满意的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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