期刊
ORTHOPEDIC CLINICS OF NORTH AMERICA
卷 51, 期 2, 页码 189-+出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.ocl.2019.11.011
关键词
Hip fracture; Intertrochanteric fracture; Cephalomedullary nail; Fracture reduction; Secondary stability
类别
资金
- Nature Science Foundation of China, People's Republic of China [81772323]
Hip fractures are of great interest worldwide as the geriatric population continues to increase rapidly. Currently, surgeons prefer to use cephalomedullary nail for internal fixation of pertrochanteric/intertrochanteric fractures. This article summarizes 10 concepts in hip fracture treatment over the past 20 years, including fracture line mapping, proximal lateral wall and anterior cortex, posteromedial lesser trochanter-calcar fragment, anteromedial cortex support reduction, changes of fracture reduction after sliding and secondary stability, nail entry point and wedge-open deformity, tip-apex distance and calcar-referenced tip-apex distance, femoral anterior bowing and nail modification, long nails for wide medullary canal and large posterior coronal fragment, and postoperative stability score.
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