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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
EDP Sciences
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116868/ https://www.ncbi.nlm.nih.gov/pubmed/37074180 http://dx.doi.org/10.1051/sicotj/2023005 |
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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 | PubMed |
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. |
format | Online Article Text |
id | pubmed-10116868 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | EDP Sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-101168682023-04-21 Double lag-screw compression for optimal fixation of intertrochanteric fractures with large fragment gap: A technical note Karampinas, Panagiotis Galanis, Athanasios Papagrigorakis, Eftychios Vavourakis, Michail Krexi, Anastasia Pneumaticos, Spiros Vlamis, John SICOT J Surgical Technique 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. EDP Sciences 2023-04-19 /pmc/articles/PMC10116868/ /pubmed/37074180 http://dx.doi.org/10.1051/sicotj/2023005 Text en © The Authors, published by EDP Sciences, 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Surgical Technique 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 |
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 | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10116868/ https://www.ncbi.nlm.nih.gov/pubmed/37074180 http://dx.doi.org/10.1051/sicotj/2023005 |
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