Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note
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 intraoper...
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| Format: | Article |
| Language: | English |
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EDP Sciences
2023-01-01
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| Series: | SICOT-J |
| Subjects: | |
| Online Access: | https://www.sicot-j.org/articles/sicotj/full_html/2023/01/sicotj230012/sicotj230012.html |
| _version_ | 1797843649748271104 |
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| author | Karampinas Panagiotis Galanis Athanasios Papagrigorakis Eftychios Vavourakis Michail Krexi Anastasia Pneumaticos Spiros Vlamis John |
| author_facet | Karampinas Panagiotis Galanis Athanasios Papagrigorakis Eftychios Vavourakis Michail Krexi Anastasia Pneumaticos Spiros Vlamis John |
| author_sort | Karampinas Panagiotis |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T17:08:44Z |
| format | Article |
| id | doaj.art-85ccefd1a93e4c1aae2a2c806c46e442 |
| institution | Directory Open Access Journal |
| issn | 2426-8887 |
| language | English |
| last_indexed | 2024-04-09T17:08:44Z |
| publishDate | 2023-01-01 |
| publisher | EDP Sciences |
| record_format | Article |
| series | SICOT-J |
| spelling | doaj.art-85ccefd1a93e4c1aae2a2c806c46e4422023-04-20T08:32:28ZengEDP SciencesSICOT-J2426-88872023-01-019910.1051/sicotj/2023005sicotj230012Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical noteKarampinas Panagiotis0Galanis Athanasios1Papagrigorakis Eftychios2Vavourakis Michail3https://orcid.org/0000-0002-2147-5844Krexi Anastasia4Pneumaticos Spiros5Vlamis John6Department of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General HospitalDepartment of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General HospitalDepartment of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General HospitalDepartment of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General HospitalDepartment of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General HospitalDepartment of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General HospitalDepartment of Orthopaedic Surgery, National & Kapodistrian University of Athens, KAT General HospitalCephalomedullary 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.https://www.sicot-j.org/articles/sicotj/full_html/2023/01/sicotj230012/sicotj230012.htmldouble compressionlag screwperitrochanteric fracturecephalomedullary nailscrew cut-outfracture gap |
| spellingShingle | Karampinas Panagiotis Galanis Athanasios Papagrigorakis Eftychios Vavourakis Michail Krexi Anastasia Pneumaticos Spiros Vlamis John Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note SICOT-J double compression lag screw peritrochanteric fracture cephalomedullary nail screw cut-out fracture gap |
| title | Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note |
| title_full | Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note |
| title_fullStr | Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note |
| title_full_unstemmed | Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note |
| title_short | Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note |
| title_sort | double lag screw compression for optimal fixation of intertrochanteric fractures with large fragment gap a technical note |
| topic | double compression lag screw peritrochanteric fracture cephalomedullary nail screw cut-out fracture gap |
| url | https://www.sicot-j.org/articles/sicotj/full_html/2023/01/sicotj230012/sicotj230012.html |
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