Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note.
Cephalomedullary nail
Double compression
Fracture gap
Lag screw
Peritrochanteric fracture
Screw cut-out
Journal
SICOT-J
ISSN: 2426-8887
Titre abrégé: SICOT J
Pays: France
ID NLM: 101675099
Informations de publication
Date de publication:
2023
2023
Historique:
received:
03
02
2023
accepted:
12
03
2023
medline:
19
4
2023
pubmed:
19
4
2023
entrez:
19
04
2023
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 37074180
doi: 10.1051/sicotj/2023005
pii: sicotj230012
pmc: PMC10116868
doi:
Types de publication
Case Reports
Langues
eng
Pagination
9Informations de copyright
© The Authors, published by EDP Sciences, 2023.
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