Clinical significance of external wall of femoral intertrochanteric fracture and the treatment of internal fixation

doi:10.3969/j.issn.2095-4344.2821

Abstract

Abstract:

BACKGROUND: The concept of the lateral wall as a hot area has emerged in recent years, and has great guiding significance for the treatment of intertrochanteric fractures.

OBJECTIVE: To review the definition, scope, thickness of the lateral wall and its important role in the surgical treatment of intertrochanteric fractures.

METHODS: The authors searched Wanfang, CNKI, PubMed, and Web of Science. The search terms were

“intertrochanteric fracture, lateral wall, fracture fixation” in Chinese and English. The retrieved documents were sorted, analyzed and summarized.

RESULTS AND CONCLUSION: (1) The definition, scope, thickness and measurement method of the lateral wall and its clinical significance were sorted out. (2) Classification criteria based on lateral intertrochanteric fractures of the femur were summarized. (3) In terms of treatment, four kinds of treatment methods: extramedullary fixation, intramedullary fixation, artificial joint replacement and other treatment methods were listed. Causes and treatment of fracture of lateral wall during and after operation were analyzed. (4) The results showed that the integrity of the lateral wall directly affected the stability of the internal fixation, even the success of the internal fixation. The complete lateral wall can prevent the distal femur from moving inward and the head pin from withdrawing, and prevent the coxa varus deformity. Clinicians should make use of detailed imaging examination, analyze fracture types, comprehensively consider various factors, and select appropriate repair methods.

Key words: bone, fracture, femur, lateral wall, joint, fixation, extramedullary fixation, intramedullary fixation, artificial joint replacement

CLC Number:

Tao Jin, Xiong Guirun, Liu Pengran, Jiao Rui, Li Xiaolei, Yan Lianqi. Clinical significance of external wall of femoral intertrochanteric fracture and the treatment of internal fixation[J]. Chinese Journal of Tissue Engineering Research, 2020, 24(30): 4854-4859.

Figures/Tables 2

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