Articles | Open Access | DOI: https://doi.org/10.37547/ijmscr/Volume04Issue01-01

STRATEGIES FOR FIXATION IN THIN LATERAL CORTEX OF INTERTROCHANTERIC FEMORAL FRACTURES: A COMPREHENSIVE REVIEW

Rayan Qasim , Department of Orthopedic Surgery, Royal Medical Services, Jordan

Abstract

This comprehensive review explores various fixation strategies tailored for addressing fractures with a thin lateral cortex in the intertrochanteric region of the femur. Intertrochanteric femoral fractures present unique challenges, particularly when the lateral cortex is thin or compromised. The study examines and synthesizes existing literature on fixation modalities, considering both biomechanical principles and clinical outcomes. Strategies such as cephalomedullary nails, dynamic hip screws, and augmented fixation techniques are scrutinized to provide a comprehensive understanding of their efficacy and limitations. By amalgamating diverse perspectives, this review aims to guide orthopedic practitioners in selecting optimal fixation methods for intertrochanteric femoral fractures with a thin lateral cortex.

Keywords

Intertrochanteric femoral fractures, thin lateral cortex, fixation modalities

References

Sheehan S. E., Shyu J. Y., Weaver M. J., Sodickson A. D., Khurana B. Proximal femoral fractures: what the orthopedic surgeon wants to know. RadioGraphics. 2015;35(5):1563–84.

Sharma G, Gn KK, Khatri K, Singh R, Gamanagatti S, Sharma V. Morphology of the posteromedial fragment in pertrochanteric fractures: A three-dimensional computed tomography analysis. Injury. 2017;48(2):419-31

Xiong WF, Zhang YQ, Chang SM, Hu SJ, Du SC. Lesser Trochanteric Fragments in Unstable Pertrochanteric Hip Fractures: A Morphological Study Using Three-Dimensional Computed Tomography (3-D CT) Reconstruction. Med Sci Monit. 2019; 19(25):2049-57.

Kauffman JI, Simon JA, Kummer FJ, Pearlman CJ, Zuckerman JD, Koval KJ. Internal fixation of femoral neck fractures with posterior comminution: a biomechanical study. J Orthop Trauma. 1999;13(3):155-9.

Liu J, Zhang B, Yin B, Chen H, Sun H, Zhang W. Biomechanical Evaluation of the Modified Cannulated Screws Fixation of Unstable Femoral Neck Fracture with Comminuted Posteromedial Cortex. Biomed Res Int. 2019 Jul 7;2019:2584151.

Li M, Li ZR, Li JT, Lei MX, Su XY, Wang GQ, Zhang H, Xu GX, Yin P, Zhang LC, Tang PF. Three-dimensional mapping of intertrochanteric fracture lines. Chin Med J (Engl). 2019;132(21):2524-33.

Garg B, Malhotra R, Jayaswal A, Kotwal PP. Integrity of the lateral femoral wall in intertrochanteric hip fractures. J Bone Joint Surg Am. 2007; 89(8):1868; author reply 1868.

Hsu CE, Shih CM, Wang CC, Huang KC. Lateral femoral wall thickness. A reliable predictor of postoperative lateral wall fracture in intertrochanteric fractures. Bone Joint J. 2013; 95-B(8):1134-8.

Palm H, Jacobsen S, Sonne-Holm S, Gebuhr P; Hip Fracture Study Group. Integrity of the lateral femoral wall in intertrochanteric hip fractures: an important predictor of a reoperation. J Bone Joint Surg Am. 2007;89(3):470-5.

Zdero R, Bougherara H, Dubov A, et al. The effect of cortex thickness on intact femur biomechanics: a comparison of finite element analysis with synthetic femurs. Proc Inst Mech Eng H 2010;224:831–840.

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Rayan Qasim. (2024). STRATEGIES FOR FIXATION IN THIN LATERAL CORTEX OF INTERTROCHANTERIC FEMORAL FRACTURES: A COMPREHENSIVE REVIEW. International Journal of Medical Sciences And Clinical Research, 4(01), 01–06. https://doi.org/10.37547/ijmscr/Volume04Issue01-01