
REVIEWING FIXATION MODALITIES FOR THIN LATERAL CORTEX - INTERTROCHANTERIC FEMORAL FRACTURES
Mohammad A. Almigdad , Department of Orthopedic Surgery, Royal Medical Services, JordanAbstract
Intertrochanteric femoral fractures with a thin lateral cortex pose a challenging scenario in orthopedic surgery. The stability and successful healing of these fractures largely depend on the choice of appropriate fixation modalities. This review aims to provide an overview of the various fixation techniques and modalities used in the management of thin lateral cortex - intertrochanteric femoral fractures. The literature search was conducted using electronic databases, including PubMed and Scopus, to identify relevant studies published between 2010 and 2023. The selected articles were analyzed to gather information on different fixation methods, including intramedullary nails, sliding hip screws, proximal femoral plates, and augmentation techniques. The efficacy, biomechanical properties, complications, and clinical outcomes associated with each fixation modality were evaluated. Furthermore, the influence of patient factors, fracture characteristics, and surgeon experience on the choice of fixation technique was also explored. This comprehensive review aims to provide orthopedic surgeons with evidence-based insights into the selection and application of fixation modalities for thin lateral cortex - intertrochanteric femoral fractures.
Keywords
Intertrochanteric fractures, femoral fractures, lateral cortex
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