Chinese Journal of Tissue Engineering Research ›› 2011, Vol. 15 ›› Issue (30): 5653-5656.doi: 10.3969/j.issn.1673-8225.2011.30.035

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A review of different extramedullary fixation devices in intertrochanteric fractures

Shi Ming, Li Tao   

  1. Department of Minimally Invasive Spine Surgery, Zibo Central Hospital, Binzhou Medical University, Zibo  255036, Shandong Province, China
  • Received:2011-03-13 Revised:2011-04-24 Online:2011-07-23 Published:2011-07-23
  • Contact: Li Tao, Doctor, Master’s supervisor, Associate professor, Department of Minimally Invasive Spine Surgery, Zibo Central Hospital, Binzhou Medical University, Zibo 255036, Shandong Province, China litaozhongguo@163.com
  • About author:Shi Ming★, Studying for master’s degree, Physician, Department of Minimally Invasive Spine Surgery, Zibo Central Hospital, Binzhou Medical University, Zibo 255036, Shandong Province, China shiming907@163.com

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Abstract:

BACKGROUND: With the aging of the population, the incidence of intertrochanteric fracture increases apparently. Such fracture is currently treated with surgery, and the dynamic hip screw (DHS) has always been considered as “gold standard”, but with the development of minimally invasive technique and extramedullary fixation technology, we should be fully aware of the characteristics of extramedullary fixation device, and strictly mastering the indications in order to reduce the surgical complications.
OBJECTIVE: To discuss and compare traits, operative efficacy, complications and biomechanics of the extramedullary fixation devices in intertrochanteric fracture.
METHODS: The first author retrieved PubMed and Wanfang databases for articles concerning operative efficacy, complications and biomechanics of the extramedullary fixation devices in intertrochanteric fracture published 1990/2010.
RESULTS AND CONCLUSION: In treatment of intertrochanteric fracture, percutaneous compression plate and LCP with two or three femoral neck screw nails can reduce the incidence of complications, prevent hip varus, provide reliable fixation; minimally invasive technique can reduce operative time and the amount of exposure.

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