Hui YM, Zeng G, Liu PY, Chai B. Application of lesser trochanteric reduction fixator in the treatment of unstable intertrochanteric fractures. World J Clin Cases 2023; 11(25): 5863-5869 [PMID: 37727488 DOI: 10.12998/wjcc.v11.i25.5863]
Corresponding Author of This Article
Pei-Yi Liu, MD, PhD, Academic Research, Attending Doctor, Department of Orthopedics, Tong Ren Hospital, School of Medicine Shanghai Jiao Tong University, No. 1111 Xianxia Road, Shanghai 200336, China. liupeiyi_sjtu@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Control Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 6, 2023; 11(25): 5863-5869 Published online Sep 6, 2023. doi: 10.12998/wjcc.v11.i25.5863
Application of lesser trochanteric reduction fixator in the treatment of unstable intertrochanteric fractures
Yao-Min Hui, Guang Zeng, Pei-Yi Liu, Bin Chai
Yao-Min Hui, Guang Zeng, Pei-Yi Liu, Bin Chai, Department of Orthopedics, Tong Ren Hospital, School of Medicine Shanghai Jiao Tong University, Shanghai 200336, China
Author contributions: Liu PY designed the study, wrote the main manuscript text, and prepared the figures; Hui YM prepared the utility model patents tool for surgery; Zeng G prepared the surgery; Chai B collected the data and performed the statistical analysis; all authors have read and approved the final manuscript.
Institutional review board statement: The Institutional Review Board of the TongRen Hospital, School of Medicine Shanghai Jiao Tong University approved this study, and it was conducted in accordance with the Declaration of Helsinki. All participants provided written informed consent before their data were stored in our hospital database and used for study purposes.
Informed consent statement: All participants provided written informed consent before their data were stored in our hospital database and used for study purposes.
Conflict-of-interest statement: The authors declare no competing interests for this article.
Data sharing statement: The generated and analysed datasets are available from the corresponding author upon reasonable request.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Pei-Yi Liu, MD, PhD, Academic Research, Attending Doctor, Department of Orthopedics, Tong Ren Hospital, School of Medicine Shanghai Jiao Tong University, No. 1111 Xianxia Road, Shanghai 200336, China. liupeiyi_sjtu@163.com
Received: March 30, 2023 Peer-review started: March 30, 2023 First decision: July 3, 2023 Revised: July 5, 2023 Accepted: August 3, 2023 Article in press: August 3, 2023 Published online: September 6, 2023 Processing time: 154 Days and 19.2 Hours
Abstract
BACKGROUND
Closed reduction and internal fixation with intramedullary nails has been widely accepted for treating intertrochanteric fractures.
AIM
To focus on how to avoid displacement of the lesser trochanter in unstable intertrochanteric fractures.
METHODS
We developed a lesser trochanteric reduction fixator for treating intertrochanteric fractures through fixing the lesser trochanter by combining the loop plate through the fixator after reduction by the reducer. Five patients with intertrochanteric fractures treated with the newly developed lesser trochanteric reduction fixator and loop plate combined with intramedullary nails, and 20 patients with intertrochanteric fractures treated with simple intramedullary nails were selected from December 2020 to March 2021.
RESULTS
The postoperative Harris hip score was significantly higher in patients treated with the lesser trochanteric reduction fixator than in patients treated without the lesser trochanteric reduction fixator, which indicated that this lesser trochanteric reduction fixator had a positive impact on rehabilitation of the hip joint after surgery and could significantly improve the quality of life of patients.
CONCLUSION
We fully realize the significance of trochanteric reduction and fixation, namely, reconstruction of structures under pressure, in the treatment of intertrochanteric fractures. As long as the general condition of patients is favorable and they are willing to undergo surgery, fixation of the main fracture end should be performed and the lesser trochanter should be reduced and fixed at the same time.
Core Tip: After reliable reduction and fixation, a newly developed lesser trochanteric reduction fixator can be introduced into the loop plate through the customized holes, and the loop plate can pass through the muscle space of the lesser trochanter, which can achieve the reduction and fixation of the lesser trochanter. This fixator can improve the quality of reducing the lesser trochanter, and the loop plate can achieve elastic fixation. There is no risk of nail breakage caused by nail fixation.
