Principles of Minimally Invasive Reduction and Nail Fixation for Subtrochanteric Femur Fractures

J Am Acad Orthop Surg. 2024 Apr 9. doi: 10.5435/JAAOS-D-23-00904. Online ahead of print.ABSTRACTSubtrochanteric femur fractures have a reputation as difficult orthopaedic injuries to treat. Strong deforming forces, including the hip musculature and high physiologic forces, must be counteracted to obtain and maintain reduction. Adding to the complexity is a wide variety of fracture morphologies that must be recognized to execute an appropriate surgical plan. The challenging nature of this injury is demonstrated by nonunion rates of 4% to 5%, but some series have reports of up to 15% and malunion rates of 10% to 15%. Improved outcomes have been shown to be dependent on appropriate reduction and stable fixation, which can be achieved with less surgical insult. The treating surgeon must have a thorough understanding of the injury characteristics and reduction techniques to appropriately execute minimally invasive techniques for these difficult fractures.PMID:38626351 | DOI:10.5435/JAAOS-D-23-00904

Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Jeffrey Brewer Francisco Fuster Samantha Mosle Marilyn Heng Source Type: research