Anteromedial cortical support reduction in unstable pertrochanteric fractures: a comparison of intra-operative fluoroscopy and post-operative three dimensional computerised tomography reconstruction

International Orthopaedics - Tập 42 Số 1 - Trang 183-189 - 2018
Shi‐Min Chang1, Yingqi Zhang2, Shou-Chao Du1, Zhuo Ma1, Sun-Jun Hu1, Xi-Zhou Yao1, Wenfeng Xiong1
1The Department of Orthopaedic Surgery, Yangpu Hospital, Tongji University School of Medicine, Shanghai, People’s Republic of China
2Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, People's Republic of China

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Tài liệu tham khảo

Russell TA, Sanders R (2011) Pertrochanteric hip fractures: time for change. J Orthop Trauma 25(4):189–190. https://doi.org/10.1097/BOT.0b013e3181f221c1

Niu E, Yang A, Harris AH, Bishop J (2015) Which fixation device is preferred for surgical treatment of intertrochanteric hip fractures in the United States? A survey of orthopaedic surgeons. Clin Orthop Relat Res 473(11):3647–3355. https://doi.org/10.1007/s11999-015-4469-5

Kaufer H (1980) Mechanics of the treatment of hip injuries. Clin Orthop Relat Res 146:53–61

Chang SM, Zhang YQ, Ma Z, Li Q, Dargel J, Eysel P (2015) Fracture reduction with positive medial cortical support: a key element in stability reconstruction for the unstable pertrochanteric hip fractures. Arch Orthop Trauma Surg 135(6):811–818. https://doi.org/10.1007/s00402-015-2206-x

Baldwin PC 3rd, Lavender RC, Sanders R, Koval KJ (2016) Controversies in Intramedullary fixation for Intertrochanteric hip fractures. J Orthop Trauma 30(12):635–641. https://doi.org/10.1097/BOT.0000000000000652

Zhou JQ, Chang SM (2012) Failure of PFNA: helical blade perforation and tip-apex distance. Injury 43(7):1227–1278. https://doi.org/10.1016/j.injury.2011.10.024

Chang SM, Song DL, Ma Z, Tao YL, Chen WL, Zhang LZ, Wang X (2014) Mismatch of the short straight cephalomedullary nail (PFNA-II) with the anterior bow of the femur in an Asian population. J Orthop Trauma 28(1):17–22. https://doi.org/10.1097/BOT.0000000000000022

Hu SJ, Chang SM, Ma Z, Du SC, Xiong LP, Wang X (2016) PFNA-II protrusion over the greater trochanter in the Asian population used in proximal femoral fractures. Indian J Orthop 50(6):641–646. https://doi.org/10.4103/0019-5413.193475

Tsang ST, Aitken SA, Golay SK, Silverwood RK, Biant LC (2014) When does hip fracture surgery fail? Injury 45(7):1059–1065. https://doi.org/10.1016/j.injury.2014.03.019

Li S, Chang SM, Jin YM, Zhang YQ, Niu WX, Du SC, Zhang LZ, Ma H (2016) A mathematical simulation of the tip-apex distance and the calcar-referenced tip-apex distance for intertrochanteric fractures reduced with lag screws. Injury 47(6):1302–1308. https://doi.org/10.1016/j.injury.2016.03.029

Li S, Chang SM, Niu WX, Ma H (2015) Comparison of tip apex distance and cut-out complications between helical blades and lag screws in intertrochanteric fractures among the elderly: a meta-analysis. J Orthop Sci 20(6):1062–1069. https://doi.org/10.1007/s00776-015-0770-0

Ehrnthaller C, Olivier AC, Gebhard F, Dürselen L (2017) The role of lesser trochanter fragment in unstable pertrochanteric A2 proximal femur fractures - is refixation of the lesser trochanter worth the effort? Clin Biomech (Bristol, Avon) 42(1):31–37. https://doi.org/10.1016/j.clinbiomech.2016.12.013

Kim GM, Nam KW, Seo KB, Lim C, Kim J, Park YG (2017) Wiring technique for lesser trochanter fixation in proximal IM nailing of unstable intertrochanteric fractures: a modified candy-package wiring technique. Injury 48(2):406–413. https://doi.org/10.1016/j.injury.2016.11.016

Larsson S, Friberg S, Hansson LI (1990) Trochanteric fractures. Influence of reduction and implant position on impaction and complications. Clin Orthop Relat Res 259:130-139

Tsukada S, Wakui M, Yoshizawa H, Miyao M, Honma T (2016) Three-dimensional computed Tomographic analysis for Comminution of Pertrochanteric femoral fracture: Comminuted anterior cortex as a predictor of cutting out. Open Orthop J 10:62–70. https://doi.org/10.2174/1874325001610010062

Sharma G, Gn KK, Khatri K, Singh R, Gamanagatti S, Sharma V (2017) Morphology of the posteromedial fragment in pertrochanteric fractures: a three-dimensional computed tomography analysis. Injury 48(2):419–431. https://doi.org/10.1016/j.injury.2016.11.010

Tsukada S, Okumura G, Matsueda M (2012) Postoperative stability on lateral radiographs in the surgical treatment of pertrochanteric hipfractures. Arch Orthop Trauma Surg 132(6):839–846. https://doi.org/10.1007/s00402-012-1484-9

Kozono N, Ikemura S, Yamashita A, Harada T, Watanabe T, Shirasawa K (2014) Direct reduction may need to be considered to avoid postoperative subtype P in patients with an unstabletrochanteric fracture: a retrospective study using a multivariate analysis. Arch Orthop Trauma Surg 134(12):1649–1654. https://doi.org/10.1007/s00402-014-2089-2

Ito J, Takakubo Y, Sasaki K, Sasaki J, Owashi K, Takagi M (2015) Prevention of excessive postoperative sliding of the short femoral nail in femoral trochanteric fractures. Arch Orthop Trauma Surg 135(5):651–657. https://doi.org/10.1007/s00402-015-2200-3

Futamura K, Baba T, Homma Y, Mogami A, Kanda A, Obayashi O, Sato K, Ueda Y, Kurata Y, Tsuji H, Kaneko K (2016) New classification focusing on the relationship between the attachment of the iliofemoralligament and the course of the fracture line for intertrochanteric fractures. Injury 47(8):1685–1691. https://doi.org/10.1016/j.injury.2016.05.015

Loch DA, Kyle RF, Bechtold JE, Kane M, Anderson K, Sherman RE (1998) Forces required to initiate sliding in second-generation intramedullary nails. J Bone Joint Surg Am 80(11):1626–1631

Kim TY, Lee YB, Chang JD, Lee SS, Yoo JH, Chung KJ, Hwang JH (2015) Torsional malalignment, how much significant in the trochanteric fractures? Injury 46(11):2196–2200. https://doi.org/10.1016/j.injury.2015.07.015

Lee SR, Kim ST, Yoon MG, Moon MS, Heo JH (2013) The stability score of the intramedullary nailed intertrochanteric fractures: stability of nailedfracture and postoperative patient mobilization. Clin Orthop Surg 5(1):10–18. https://doi.org/10.4055/cios.2013.5.1.10