Journal of Musculoskeletal Trauma

Note

New Wiring Method for Lesser Trochanter Fixation in Unstable Intertrochanteric Fractures: Technical Note: Joong Myung Lee, Jeong Hee Lee, Churl Woo Lee, Hyun Min Kim; J Korean Fract Soc 2005;18(2):209-212. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.209

In unstable femoral trochanteric fracture, we usually used transversing K-wires through the lesser trochanter to achieve an anatomical reduction, and using sliding hip screws. However, in patients with comminuted lesser trochanter or osteoporosis, an intrusion of the wire into the lesser trochanter and/or iatrogenic intertrochanteric fractures were often resulted. Those who were not familiar with a technique of puncturing two holes through the lesser trochanter might have had to face some difficulties. In order to overcome aforementioned drawbacks, the authors had quite satisfactory results by employing the method of passing each of two wires above and below the iliopsoas muscle, and they were twisted posteriorly and then anteriorly; and finally they were pulled together posteriorly. Through this technique, both firm fixation of the lesser trochanter and more stable bony union were obtained.

Citations

Citations to this article as recorded by

The lesser trochanter “Sling fixation technique” in proximal intramedullary nailing of unstable intertrochanteric fractures: A polymer-based cerclage wiring
Marco Villano, Matteo Innocenti, Roberto Civinini, Christian Carulli, Alessandro Civinini, Zyad Ayman Taha, Andrea Cozzi Lepri
Journal of Orthopaedics.2022; 34: 94. CrossRef
Unstable Intertrochanteric Fracture: Do We Know Everything? A Review
Balaji Zacharia, Harshitha Hayavadana Udupa
SN Comprehensive Clinical Medicine.2022;[Epub] CrossRef
When to Reduce and Fix Displaced Lesser Trochanter in Treatment of Trochanteric Fracture: A Systematic Review
Ao-Lei Yang, Wei Mao, Jun-Guo Wu, Yi-Qun He, Hao-Fei Ni, Hai-Long Li, You-Hai Dong
Frontiers in Surgery.2022;[Epub] CrossRef
Medial wall fragment involving large posterior cortex in pertrochanteric femur fractures: a notable preoperative risk factor for implant failure
Pengfei Li, Yang Lv, Fang Zhou, Yun Tian, Hongquan Ji, Zhishan Zhang, Yan Guo, Zhongwei Yang, Guojin Hou
Injury.2020; 51(3): 683. CrossRef
In response
David J. Ciufo, John P. Ketz
Journal of Orthopaedic Trauma.2018; 32(9): e382. CrossRef
Three-Dimensional Computed Tomography Reduced Fixation Failure of Intramedullary Nailing for Unstable Type of Intertrochanteric Fracture
Wei-Yu Li, Kai-Cheng Lin
Journal of Orthopaedic Trauma.2018; 32(9): e381. CrossRef
Wiring Techniques for the Fixation of Trochanteric Fragments during Bipolar Hemiarthroplasty for Femoral Intertrochanteric Fracture: Clinical Study and Technical Note
Joong-Myung Lee, Yongsuk Cho, Junhyun Kim, Dong-Won Kim
Hip & Pelvis.2017; 29(1): 44. CrossRef
Wiring technique for lesser trochanter fixation in proximal IM nailing of unstable intertrochanteric fractures: A modified candy-package wiring technique
Gyeong Min Kim, Kwang Woo Nam, Kyu-Bum Seo, Chaemoon Lim, Jiyun Kim, Yong-Geun Park
Injury.2017; 48(2): 406. CrossRef
Bipolar Hemiarthroplasty with Cementless Femoral Stem for Unstable Intertrochanteric Fractures
Joong-Myung Lee, Hee-Tae Nam, Sang-Hun Lee
Journal of the Korean Orthopaedic Association.2012; 47(2): 79. CrossRef

135 View
1 Download
9 Crossref

Original Article

Evaluation of Rotational Displacement of the Posterior Facet on the Sagittal Plane in Computed Tomographic Images of Calcaneal Fractures: Su Young Bae, Yi Kyoung Shin, Jong Oh Kim, Jung Hee Lee, Churl Woo Lee, Jae Hung Shin; J Korean Fract Soc 2005;18(2):165-169. Published online April 30, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.2.165

Abstract PDF

PURPOSE
To find out whether or not the computed tomographic (CT) classification systems of the calcaneal fracture are efficient in illuminating displaced posterior facet fragment and the degree of displacement can be evaluated by analyzing serial CT images.
MATERIALS AND METHODS
Seventy-seven hundred calcaneal fractures were classified by CT classification systems including Sanders classification, and the sagittal rotation angle of the posteior facet fragment was measured on the plain lateral radiograph. Among the serial axial CT images, a number of images with the cortical bone embedded in the cancellous portion were recorded and any significant relationship between each data were evaluated.
RESULTS
The conventional CT classification systems are rather insufficient in illuminating the extent of sagittal rotatory displacement. However, the number of CT images in which the cortical radiodensity was observed showed a significantly related with the degree of displacement.
CONCLUSION
The conventional CT classification of the calcaneal fractures is unsatisfactory in expressing the degree of sagittal rotatory displacement of the posterior facet fragment; this problem may be alleviated by observing the number of axial CT images in which cortical radiodensity was revealed within the calcaneal body.

Citations

Citations to this article as recorded by

Tricortical-allobone Grafting in Screw Fixation for Intra-articular Calcaneal Fracture via Ollier Approach
Taejung Bang, Su-Young Bae, Seung Hun Woo, Hyung-Jin Chung
Journal of Korean Foot and Ankle Society.2017; 21(1): 27. CrossRef
The Effect of Temporary K-wire Fixation in the Plate Fixation for Displaced Intra-articular Calcaneal Fracture
Kiwon Young, Jin Su Kim, Jinseon Moon
Journal of Korean Foot and Ankle Society.2014; 18(3): 119. CrossRef

109 View
0 Download
2 Crossref

First
Prev
Page of 1
Next
Last

Search