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Radiologic predictor of intraoperative lateral wall fractures in treatment of pertrochanteric fractures with cephalomedullary nailing
OBJECTIVE: This study was performed to investigate the reliability of the height of pertrochanteric fractures as a predictor of lateral wall fractures after cephalomedullary nailing and provide a simple way to determine the threshold value. METHODS: We performed a prospective randomized clinical stu...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221170/ https://www.ncbi.nlm.nih.gov/pubmed/32338104 http://dx.doi.org/10.1177/0300060520920066 |
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author | Dai, Jun-qi Jin, Dongxu Zhang, Changqing Huang, Yi-Gang |
author_facet | Dai, Jun-qi Jin, Dongxu Zhang, Changqing Huang, Yi-Gang |
author_sort | Dai, Jun-qi |
collection | PubMed |
description | OBJECTIVE: This study was performed to investigate the reliability of the height of pertrochanteric fractures as a predictor of lateral wall fractures after cephalomedullary nailing and provide a simple way to determine the threshold value. METHODS: We performed a prospective randomized clinical study of 50 consecutive patients who underwent measurement of the height of the pertrochanteric fracture and the tangent line to the superior margin of the contralateral femoral neck. The preoperative and postoperative integrity of the lateral wall was evaluated by computed tomography. RESULTS: The pertrochanteric fracture height was significantly lower in patients with than without intraoperative lateral wall fractures (15.6 vs. 28.5 mm, respectively). The threshold value of the fracture height was 20.445 mm, which was not significantly different from the mean height of the tangent line of the superior margin of the contralateral femoral neck (19.4 mm). CONCLUSIONS: Pertrochanteric fractures with the proximal starting point lower than the mirror position of the tangent line to the superior margin of the contralateral femoral neck have a higher risk of intraoperative lateral wall fractures during cephalomedullary nailing. |
format | Online Article Text |
id | pubmed-7221170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-72211702020-05-18 Radiologic predictor of intraoperative lateral wall fractures in treatment of pertrochanteric fractures with cephalomedullary nailing Dai, Jun-qi Jin, Dongxu Zhang, Changqing Huang, Yi-Gang J Int Med Res Prospective Randomized Clinical Study OBJECTIVE: This study was performed to investigate the reliability of the height of pertrochanteric fractures as a predictor of lateral wall fractures after cephalomedullary nailing and provide a simple way to determine the threshold value. METHODS: We performed a prospective randomized clinical study of 50 consecutive patients who underwent measurement of the height of the pertrochanteric fracture and the tangent line to the superior margin of the contralateral femoral neck. The preoperative and postoperative integrity of the lateral wall was evaluated by computed tomography. RESULTS: The pertrochanteric fracture height was significantly lower in patients with than without intraoperative lateral wall fractures (15.6 vs. 28.5 mm, respectively). The threshold value of the fracture height was 20.445 mm, which was not significantly different from the mean height of the tangent line of the superior margin of the contralateral femoral neck (19.4 mm). CONCLUSIONS: Pertrochanteric fractures with the proximal starting point lower than the mirror position of the tangent line to the superior margin of the contralateral femoral neck have a higher risk of intraoperative lateral wall fractures during cephalomedullary nailing. SAGE Publications 2020-04-27 /pmc/articles/PMC7221170/ /pubmed/32338104 http://dx.doi.org/10.1177/0300060520920066 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Prospective Randomized Clinical Study Dai, Jun-qi Jin, Dongxu Zhang, Changqing Huang, Yi-Gang Radiologic predictor of intraoperative lateral wall fractures in treatment of pertrochanteric fractures with cephalomedullary nailing |
title | Radiologic predictor of intraoperative lateral wall fractures in
treatment of pertrochanteric fractures with cephalomedullary
nailing |
title_full | Radiologic predictor of intraoperative lateral wall fractures in
treatment of pertrochanteric fractures with cephalomedullary
nailing |
title_fullStr | Radiologic predictor of intraoperative lateral wall fractures in
treatment of pertrochanteric fractures with cephalomedullary
nailing |
title_full_unstemmed | Radiologic predictor of intraoperative lateral wall fractures in
treatment of pertrochanteric fractures with cephalomedullary
nailing |
title_short | Radiologic predictor of intraoperative lateral wall fractures in
treatment of pertrochanteric fractures with cephalomedullary
nailing |
title_sort | radiologic predictor of intraoperative lateral wall fractures in
treatment of pertrochanteric fractures with cephalomedullary
nailing |
topic | Prospective Randomized Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7221170/ https://www.ncbi.nlm.nih.gov/pubmed/32338104 http://dx.doi.org/10.1177/0300060520920066 |
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