ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2014
Cephalomedullary fixation for intertrochanteric fractures: an operative technical tip.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Impact of fast-track rehabilitation nursing on pressure ulcers and postoperative complications in patients with inter-trochanteric fractures: A meta-analysis.International wound journal · 2024Pooled it
- Comparative Efficacy in Pertrochanteric Fractures: A Randomized Controlled Trial of the Shortest Versus Various Short-Length Cephalomedullary Nails.Advances in orthopedics · 2025Article
- Is Nail-Canal Diameter Discordance a Risk Factor for the Excessive Sliding of Cephalomedullary Nails in Geriatric Intertrochanteric Fracture Surgery?Medicina (Kaunas, Lithuania) · 2023Article
- Prevention of inaccurate targeting of proximal screws during reconstruction femoral nailing.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2016Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Intertrochanteric fracture is the most common hip fractures in elderly population. Cephalomedullary fixation, including proximal femoral nail antirotation (PFNA) and gamma nail, is commonly used in the treatment of intertrochanteric fractures. One of difficulties encountered in operation is insertion of the guide wire to femoral head. The guide wire would always bend and flow superiorly away from femoral calcar, and the lag screw and helical blade will follow the track and get into superior part of femoral head, not into femoral calcar. Here, we are presenting a surgical technique to direct the guide wire to right track. When guide wire just passed the tack hole of the nail, the rod of nail was slightly tapped down further to allow the superior border of the tack hole to touch the guide wire. Therefore, the superior border of the tack hole can be used as presser to prevent the wire from deviating upward. Through this way, the lag screw and helical blade get a good purchase that docked at femoral calcar. After that, the rod of nail was pulled back a little to make the wire in the middle of the tack hole, which can facilitate the insertion of the PFNA blade or lag screw. Our experience demonstrated that this surgical technique reduced the intraoperative risk for patients.
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