Treatment of irreducible intertrochanteric femoral fractures in elderly by novel bone hook combined with finger-guided technique.
10.7507/1002-1892.202410006
- Author:
Zenghui ZHANG
1
;
Tichao HAN
1
;
Wei LI
1
;
Yangyang ZHOU
1
;
Junjun LIU
1
;
Nannan LI
1
;
Tiantian REN
2
Author Information
1. Department of Orthopedics, People's Hospital of Linquan County, Linquan Anhui, 236400, P. R. China.
2. Department of Orthopedics, the First Affiliated Hospital of Ningbo University, Ningbo Zhejiang, 315000, P. R. China.
- Publication Type:Journal Article
- Keywords:
Irreducible intertrochanteric femoral fracture;
finger-guided technique;
fracture reduction;
novel bone hook;
the elderly
- MeSH:
Humans;
Male;
Female;
Aged;
Aged, 80 and over;
Hip Fractures/diagnostic imaging*;
Fracture Fixation, Internal/instrumentation*;
Fracture Healing;
Treatment Outcome;
Operative Time;
Fracture Fixation, Intramedullary/instrumentation*;
Bone Nails;
Postoperative Complications/epidemiology*;
Feasibility Studies;
Fingers
- From:
Chinese Journal of Reparative and Reconstructive Surgery
2025;39(1):53-58
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the feasibility and effectiveness of the novel bone hook combined with finger-guided technique in the treatment of irreducible intertrochanteric femoral fractures in elderly.
METHODS:Between January 2021 and August 2023, 23 elderly patients with irreducible intertrochanteric femoral fractures were treated with the novel bone hook combined with finger-guided technique. There were 10 males and 13 females; the age ranged from 68 to 93 years (mean, 76.2 years). The time from injury to operation ranged from 36 to 76 hours (mean, 51.2 hours). According to the classification standard proposed by TONG Dake et alin 2021, there were 10 cases of typeⅠA, 1 case of typeⅠB, 6 cases of type ⅡA, 4 cases of type ⅡB, and 2 cases of type ⅡC. The operation time, intraoperative blood loss, intraoperative fluoroscopy frequences, and quality of fracture reduction were recorded. The fracture healing time and occurrence of postoperative complications were observed during follow-up. At last follow-up, the Harris scoring system was used to evaluate the hip joint function.
RESULTS:The operation time was 42-95 minutes (mean, 52.1 minutes). The intraoperative blood loss was 40-420 mL (mean, 126.5 mL). Intraoperative fluoroscopy was performed 14-34 times (mean, 20.7 times). According to the criteria proposed by Chang et al, the quality of fracture reduction was rated as good in 20 cases and acceptable in 3 cases. All patients were followed up 6-20 months (mean, 10.2 months). X-ray film showed that all fractures healed with the healing time of 3.0-5.5 months (mean, 4.0 months). At last follow-up, the Harris score of the hip joint ranged from 82 to 97 points (mean, 90.4 points). Among them, 14 cases were rated as excellent and 9 cases as good. No complication such as coxa vara, cutting of the cephalomedullary nail, nail withdrawal, or nail breakage occurred during follow-up.
CONCLUSION:The treatment of elderly patients with irreducible intertrochanteric femoral fractures by using the novel bone hook combined with finger-guided technique can achieve high-quality fracture reduction and fixation, and has a good effectiveness.
