Online ISSN: 2515-8260

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

A Novel Technique For Reducing Sagitally Unstable Intertrochanteric Hip Fractures

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

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 818-825

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.