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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...

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Autores principales: Karampinas, Panagiotis, Galanis, Athanasios, Papagrigorakis, Eftychios, Vavourakis, Michail, Krexi, Anastasia, Pneumaticos, Spiros, Vlamis, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2023
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.
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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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