Online ISSN: 2515-8260

A Novel Technique For Reducing Sagitally Unstable Intertrochanteric Hip Fractures

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Kumar Rahul, Saksham Mittal, Pankaj Anand, Amite Pankaj Aggarwal

Abstract

Introduction: Intertrochanteric fractures are common fractures which needs to be reduced and fixed appropriately for optimum outcome. Poor reduction increases the chances of its failure by multiple times. Sagitally split fractures are notorious due to the associated flexion and sagging of distal fragment. Indirect reduction techniques have been used but with less reliability. Methods: This study tries to evaluate and put forward a technique to fix these fractures adequately translating into good clinical outcome. the fracture reduction was tried under traction. A stab incision was put anteriorily to manage the flexion of the proximal fragment.Conclusion: it is a simple and effective technique. Digital palpation by the operating surgeon aids in reduction and gets the idea of spatial orientation of the neck and thus it is easy to direct the guide wire along the direction of the neck which otherwise may take multiple trials and increased radiation exposure

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