[Treatment of irreducible intertrochanteric femoral fractures in elderly by novel bone hook combined with finger-guided technique].

• DOI: 10.7507/1002-1892.202410006
• Publication Date: 2025-01-15
• Authors: Zhongtang Zhang; T. T. Han; Wei Li; Yangyang Zhou; Junjun Liu; Nannan Li; Tiantian Ren
• Keywords: Hook; Femoral bone

To investigate the feasibility and effectiveness of novel bone hook combined with finger-guided technique in treatment irreducible intertrochanteric femoral fractures elderly. Between January 2021 August 2023, 23 elderly patients were treated technique. There 10 males 13 females; age ranged from 68 to 93 years (mean, 76.2 years). The time injury operation 36 76 hours 51.2 hours). According classification standard proposed by TONG Dake et alin 2021, there cases typeⅠA, 1 case typeⅠB, 6 type ⅡA, 4 ⅡB, 2 ⅡC. time, intraoperative blood loss, fluoroscopy frequences, quality fracture reduction recorded. healing occurrence postoperative complications observed during follow-up. At last follow-up, Harris scoring system was used evaluate hip joint function. 42-95 minutes 52.1 minutes). loss 40-420 mL 126.5 mL). Intraoperative performed 14-34 times 20.7 times). criteria Chang al, rated as good 20 acceptable 3 cases. All followed up 6-20 months 10.2 months). X-ray film showed that all healed 3.0-5.5 4.0 score 82 97 points 90.4 points). Among them, 14 excellent 9 good. No complication such coxa vara, cutting cephalomedullary nail, nail withdrawal, or breakage occurred using can achieve high-quality fixation, has a effectiveness.