ArticleBMC musculoskeletal disorders2022
Percutaneous reduction with double screwdrivers versus limited open reduction in the treatment of irreducible extracapsular hip fractures.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 7 citations in OpenAlex.
- Comparison of Conversion and Primary Total Hip Arthroplasty in a Retrospective Study of 140 Patients: Recommendations for Tailored Interventions.Hip & pelvis · 2026Article
- A novel classification system based on the lateral view of 3D-CT for predicting the reducibility of intertrochanteric fractures: a retrospective study.Journal of orthopaedic surgery and research · 2026Article
- Finite element biomechanics of novel intramedullary nails with varying diameters for intertrochanteric femoral fractures with lateral wall injury.Frontiers in bioengineering and biotechnology · 2026Article
- Research on Classification Criteria for the Reducibility and Irreducibility of Intertrochanteric Femoral Fractures.Orthopaedic surgery · 2025Article
- Temporal and regional trends of fractures in the United States: A review of the global burden of disease database.Journal of orthopaedics · 2025Article
- Biomechanical characteristic differences of two new types of intramedullary nail devices in the treatment of comminuted intertrochanteric fractures of femur: a comparative study based on finite element analysis.Journal of orthopaedic surgery and research · 2024Article
- Biomechanical evaluation of a new intramedullary nail compared with proximal femoral nail antirotation and InterTAN for the management of femoral intertrochanteric fractures.Frontiers in bioengineering and biotechnology · 2024Article
- Treatment of irreducible intertrochanteric femoral fracture with a minimally invasive clamp reduction technique via the anterior approach.Journal of orthopaedic surgery and research · 2023Article
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Authors and funding
10 authors at 2 institutions in 1 country.
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Abstract
backgroundThe reduction in irreducible extracapsular hip fractures has always been controversial. Here, we present a new minimally invasive reduction technique and compare it with limited open reduction (LOR) to treat irreducible extracapsular hip fractures.
methodsFrom January 2016 to January 2018, our institution treated 653 patients with extracapsular hip fractures by intramedullary fixation. Among them, 525 cases got a successful closed reduction. The other 128 were irreducible and reduced by percutaneous reduction with double screwdrivers (PRDS) or LOR. There were 66 cases in the PRDS group while 62 in the LOR group. All fractures were classified using the Evans-Jensen classification. In addition, the differences in incision length, blood loss, fluoroscopic number, operation time, inpatient time, weight training time, Harris score, and complications were analyzed.
resultsThe incision length was 8.4 ± 1.4 cm in the PRDS group and 15.3 ± 3.0 cm in the LOR group, respectively (p < 0.05); blood loss was equal to 151 ± 26 and 319 ± 33 ml, respectively (p < 0.05); fluoroscopic number was 14 ± 3 and 8 ± 2, respectively (p < 0.05); operation time was 44 ± 9 and 73 ± 11 min, respectively (p < 0.05); inpatient time was 6.2 ± 1.7 and 8.4 ± 2.2 days, respectively (p < 0.05); weight training time after the operation was 4.5 ± 1.5 and 10.7 ± 1.8 days, respectively (p < 0.05); and the excellent rate of Harris score was 92.4% and 88.7%, respectively (p > 0.05). There was no significant difference in complication incidence between the two groups (p > 0.05).
conclusionsThe PRDS group presented better clinical effects for managing irreducible extracapsular hip fractures than the LOR. Therefore, the PRDS technique could be the first reduction choice for patients with irreducible fractures.
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