Innovative technique of minimally invasive closed reduction for impacted femoral neck fractures (MICRIF)
| Autor: | Masayasu Takahashi, Mitsuaki Noda, Yoshihito Suda, Shin Ohsawa, Koji Nukuto, Masahiro Fujita, Issei Shinohara |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Femoral Neck Fractures 03 medical and health sciences Femoral head 0302 clinical medicine lcsh:Orthopedic surgery medicine Internal fixation Humans Reduction (orthopedic surgery) 030222 orthopedics biology business.industry 030229 sport sciences Middle Aged musculoskeletal system biology.organism_classification Surgery Closed Fracture Reduction body regions lcsh:RD701-811 Medius medicine.anatomical_structure Treatment Outcome Female business Bone Wires |
| Zdroj: | Journal of Orthopaedic Surgery, Vol 27 (2019) |
| ISSN: | 2309-4990 |
| Popis: | The moment arm of gluteus medius proportionated to distance from femoral head tends to be decreased postoperatively in valgus-impacted femoral neck fractures treated by in situ internal fixation. The aim of this article is to introduce a new gentle technique to correct the deformity. The innovative technique of Minimally Invasive Closed Reduction for Impacted Femoral neck fractures (MICRIF) mainly focused to disimpact valgus neck fractures into anatomical position. Patients were positioned on the fracture table to fix the hip joint in abduction and internal rotation. A 2.4-mm diameter Kirschner wire was inserted a few centimetres outside the iliac crest piercing the acetabular beak to enter the femoral head, followed by repositioning of the lower extremity from abduction into neutral. This method provides satisfactory anatomical reduction. Thereafter, a surgical implant was applied to osteosynthesize the reduced fracture. This simple technique effectively provides anatomical reduction in valgus impacted femoral neck fracture. |
| Databáze: | OpenAIRE |
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