ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019
Description of new "epsilon sign" and its significance in reduction in highly unstable variant of intertrochanteric fracture.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed.
- Research on Classification Criteria for the Reducibility and Irreducibility of Intertrochanteric Femoral Fractures.Orthopaedic surgery · 2025Article
- Irreducible Intertrochanteric Fractures: Analysis of Various Fracture Patterns and Reduction Techniques.Cureus · 2024Article
- Article
- Treatment of irreducible intertrochanteric femoral fracture with a minimally invasive clamp reduction technique via the anterior approach.Journal of orthopaedic surgery and research · 2023Article
- Two-Part Intertrochanteric Femur Fractures with Bisection of the Lesser Trochanter: An Irreducible Fracture Pattern.Geriatric orthopaedic surgery & rehabilitation · 2023Article
- [Research on the classification criteria of femoral intertrochanteric fractures based on irreducibility or not].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- [Treatment of irreducible intertrochanteric femoral fracture with minimally invasive clamp reduction technique via anterior approach].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Unstable AO/OTA type 31-A1.2 intertrochanteric femur fracture: An unusual case report.Trauma case reports · 2020Article
- New "epsilon" sign in "highly unstable" intertrochanteric fracture.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
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6 authors.
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Abstract
backgroundIntertrochanteric fractures are commonly encountered in day-to-day trauma practice having various fracture patterns. Adequate reduction and appropriate fixation methodology is required for optimum results. However, failure rates are very high in unstable fractures. Here we describe a unique unstable variant of intertrochanteric fracture characterized by a long spike of proximal fragment, irreducibility of fracture with standard traction and internal rotation and soft tissue interposition. This appears as typical figure of 3 signs on right side and epsilon ε sign on left side on AP X-ray of pelvis with both hips. MATERIALS AND
methodsIn retrospective review of 924 intertrochanteric fractures treated at our institution from June 2005 to January 2017, twenty patients with this typical highly unstable fracture pattern (epsilon sign/figure of 3 at fracture site) were operated at our institution, which included 18 males and two females with average age of 43.5 years (range 30-60 years). All patients required open reduction with specific maneuver and dynamic hip screw fixation.
resultsAll patients had good reduction at the end of surgery, and all patients had good signs of clinico-radiological union at follow-up. None of the patients had implant loosening or screw back out.
conclusionThe typical radiological pattern seen on X-ray will guide the surgeon to predict this unstable variant of IT fracture preoperatively and will suggest toward requirement of open reduction with specific maneuver and internal fixation with dynamic hip screw.
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