Strategies for Pertrochanteric Fracture Reduction and Intramedullary Nail Placement: Technical Tips and Tricks

Autor:	Christopher, Lee, Ben, Kelley, Ajay, Gurbani, Alexandra I, Stavrakis
Rok vydání:	2022
Předmět:	Hip Fractures Humans Orthopedics and Sports Medicine Surgery Bone Nails Femoral Fractures Aged Bone Wires Fracture Fixation Intramedullary
Zdroj:	Journal of the American Academy of Orthopaedic Surgeons. 30:867-878
ISSN:	1940-5480 1067-151X
DOI:	10.5435/jaaos-d-21-01007
Popis:	The incidence of pertrochanteric hip fractures continues to rise as the aging population expands. Despite advancements in techniques and implants, failure rates remain up to 16% in the literature. The recognition of challenging fracture patterns and the use of meticulous preoperative planning can help to avoid common pitfalls. Understanding fluoroscopic views for reduction assessment and implant placement is instrumental in preventing fixation failure. In addition, adjunctive techniques including the use of a bone hook, cerclage wire, and colinear clamps can facilitate reduction efforts. It is imperative for the surgeon to recognize common pitfalls and to consider a wide array of techniques to manage these challenging and common fractures.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::6b78ab4ea4499d53a32f20ccbb0058bd https://doi.org/10.5435/jaaos-d-21-01007 Zobrazit plný text záznamu