Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note
Intramedullary fixation is currently used to stabilize intertrochanteric fractures. Surgical reduction of the medial arch cortex is crucial to achieve stabilization of the internal fixation system, however, it is challenging to perform. To ensure anatomical reduction, we developed a novel surgical t...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-02-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1140250/full |
| _version_ | 1797894251887984640 |
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| author | Xiaodong Li Xiaodong Li Chen Zhao Chen Zhao Guantong Sun Guantong Sun Pengcheng Liu Pengcheng Liu Jian Tang Jian Tang Fei Yang Fei Yang Xiaoqing Wang Xiaoqing Wang |
| author_facet | Xiaodong Li Xiaodong Li Chen Zhao Chen Zhao Guantong Sun Guantong Sun Pengcheng Liu Pengcheng Liu Jian Tang Jian Tang Fei Yang Fei Yang Xiaoqing Wang Xiaoqing Wang |
| author_sort | Xiaodong Li |
| collection | DOAJ |
| description | Intramedullary fixation is currently used to stabilize intertrochanteric fractures. Surgical reduction of the medial arch cortex is crucial to achieve stabilization of the internal fixation system, however, it is challenging to perform. To ensure anatomical reduction, we developed a novel surgical technique to assist in achieving accurate and convenient reduction. In this technique, right-angle forceps were used to pry and reset medial arch cortex fragments via a mini-helical blade incision. Noteworthily, all patients who underwent this technique achieved anatomical reduction with reduced operation times and bleeding. Our article illustrates intraoperative reduction techniques and summarizes tips and tricks that may be beneficial and educative for orthopedists. |
| first_indexed | 2024-04-10T07:06:01Z |
| format | Article |
| id | doaj.art-44be75ea347844edbd4d466ec661efcb |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-10T07:06:01Z |
| publishDate | 2023-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-44be75ea347844edbd4d466ec661efcb2023-02-27T07:23:33ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-02-011010.3389/fsurg.2023.11402501140250Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical noteXiaodong Li0Xiaodong Li1Chen Zhao2Chen Zhao3Guantong Sun4Guantong Sun5Pengcheng Liu6Pengcheng Liu7Jian Tang8Jian Tang9Fei Yang10Fei Yang11Xiaoqing Wang12Xiaoqing Wang13Department of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Orthopedic Implants, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Orthopedic Implants, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Orthopedic Implants, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Orthopedic Implants, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Orthopedic Implants, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Orthopedic Implants, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Orthopedics, Shanghai Ninth People’s Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaShanghai Key Laboratory of Orthopedic Implants, Department of Orthopedic Surgery, Shanghai Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaIntramedullary fixation is currently used to stabilize intertrochanteric fractures. Surgical reduction of the medial arch cortex is crucial to achieve stabilization of the internal fixation system, however, it is challenging to perform. To ensure anatomical reduction, we developed a novel surgical technique to assist in achieving accurate and convenient reduction. In this technique, right-angle forceps were used to pry and reset medial arch cortex fragments via a mini-helical blade incision. Noteworthily, all patients who underwent this technique achieved anatomical reduction with reduced operation times and bleeding. Our article illustrates intraoperative reduction techniques and summarizes tips and tricks that may be beneficial and educative for orthopedists.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1140250/fullIntertrochanteric fracturesmedial archright angle forcepsreduction techniquesenhanced recovery after surgery (ERAS) |
| spellingShingle | Xiaodong Li Xiaodong Li Chen Zhao Chen Zhao Guantong Sun Guantong Sun Pengcheng Liu Pengcheng Liu Jian Tang Jian Tang Fei Yang Fei Yang Xiaoqing Wang Xiaoqing Wang Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note Frontiers in Surgery Intertrochanteric fractures medial arch right angle forceps reduction techniques enhanced recovery after surgery (ERAS) |
| title | Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note |
| title_full | Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note |
| title_fullStr | Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note |
| title_full_unstemmed | Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note |
| title_short | Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note |
| title_sort | accurate reduction of medial arch fracture fragments in intertrochanteric fractures a novel technical note |
| topic | Intertrochanteric fractures medial arch right angle forceps reduction techniques enhanced recovery after surgery (ERAS) |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1140250/full |
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