The anterior and medial reduction of intertrochanteric fractures: a simple method to obtain a stable reduction.
This article describes a simple method using anterior and medial bone contact of the distal shaft piece to obtain a stable reduction for displaced intertrochanteric fractures of the hip. The technique is based on the observation that the anterior pathoanatomy of the intertrochanteric hip fracture involves a noncomminuted fracture plane that can be placed into contact. This reestablishes a normal neck shaft angle and prevents excessive collapse of the fracture site. The maneuver is described in the context of the fracture pathoanatomy and the use of a fracture table.
Carr
James B
JB
University of South Carolina, Department of Orthopedic Trauma, Palmetto Health Richland Hospital, Columbia, SC, USA.
D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000379:methods*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D016896:Treatment Outcome