The use of intramedullary reduction techniques in the treatment of irreducible intertrochanteric femoral fractures with negative medial cortical support

• DOI: 10.3389/fsurg.2024.1391718
• Publication Date: 2024-05-13T14:35:49Z
• Authors: Xiaowen Huang; Qiang Zuo; Hao Zhou; Tianrun Lv; Jiuxiang Liu
• Keywords: 03 medical and health sciences; 0302 clinical medicine; cortical support techniques; RD1-811; irreducible intertrochanteric fractures; intramedullary reduction; femoral fractures; Surgery; negative medial support

Objective To explore the clinical efficacy of intramedullary reduction techniques for irreducible intertrochanteric femoral fractures with negative medial cortical support. Methods A retrospective analysis was conducted on 69 patients support treated in Department Orthopedics at Jiangsu Province Hospital (The First Affiliated Nanjing Medical University) from July 2019 to December 2021. Patients were divided into Group and B. (experimental group) consisted 36 cases an average age 76.2 ± 5.9 years, while B (control comprised 33 76.6 6.3 years. received treatment using techniques, traditional extramedullary techniques. Both groups achieved anatomic cortex or slight positive Surgical duration, intraoperative fracture time, bleeding, fluoroscopy quality, healing, postoperative neck-shaft angle loss, neck shortening, hip joint functional recovery score (FRS) compared between two groups. Results All followed up 13.8 months. showed superior outcomes surgical shortening ( P < 0.05). Hip function assessed by better than 1 3 months postoperatively 0.05), no significant statistical difference other time points > Conclusion For support, used during surgery demonstrated simplicity, decreased fewer amounts fluoroscopy, improved reduced complexity. Further research application are warranted.