Percutaneous acetabular anchoring pin-assisted cephalomedullary nailing for subtrochanteric and unstable intertrochanteric fractures

Kim, Keong-Hwan; Yoon, Yeo Seung; Lim, Eic Ju

doi:10.1016/j.injury.2020.01.027

Cited by 1 publication

(3 citation statements)

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“…Piriformis, trochanteric, and lateral entry nails can all be successfully used to treat these fractures when a medialized start point and appropriate reaming trajectory are executed. 23,24 As with any long bone fracture involving the metaphysis, the nail must be precisely positioned in the metaphyseal portion as the nail will typically be constrained by the diaphysis. To create the ideal pathway for the nail, the trajectory of reaming in the proximal segment is emphasized.…”

Section: Start Point and Reaming Trajectorymentioning

confidence: 99%

Section: Start Point and Reaming Trajectorymentioning

confidence: 99%

“…In addition, the blocking wire can be used as a joystick to induce deformity during reaming. 24 After reaming, the blocking wires assist in appropriate positioning of the nail in the proximal femoral segment. With this technique, the implant is reducing the fracture by using provisional constraints in the proximal segment rather than reducing the fracture then placing the implant.…”

Section: Blockingmentioning

confidence: 99%

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Principles of Minimally Invasive Reduction and Nail Fixation for Subtrochanteric Femur Fractures

Brewer,

Fuster,

Mosle

et al. 2024

J Am Acad Orthop Surg

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Subtrochanteric femur fractures have a reputation as difficult orthopaedic injuries to treat. Strong deforming forces, including the hip musculature and high physiologic forces, must be counteracted to obtain and maintain reduction. Adding to the complexity is a wide variety of fracture morphologies that must be recognized to execute an appropriate surgical plan. The challenging nature of this injury is demonstrated by nonunion rates of 4% to 5%, but some series have reports of up to 15% and malunion rates of 10% to 15%. Improved outcomes have been shown to be dependent on appropriate reduction and stable fixation, which can be achieved with less surgical insult. The treating surgeon must have a thorough understanding of the injury characteristics and reduction techniques to appropriately execute minimally invasive techniques for these difficult fractures.

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Section: Start Point and Reaming Trajectorymentioning

confidence: 99%

Section: Start Point and Reaming Trajectorymentioning

confidence: 99%

Section: Blockingmentioning

confidence: 99%

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