Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.
J Orthop Trauma. 2019 Aug;33 Suppl 1:S24-S25. doi: 10.1097/BOT.0000000000001524.
Approximately half of all hip fractures are intertrochanteric femur fractures. This video demonstrates the technique of repair of an unstable intertrochanteric hip fracture using a cephalomedullary device.
The patient is an 88-year-old woman presenting with an intertrochanteric hip fracture secondary to a low-energy injury. The patient was indicated for surgery due to the unstable nature of the fracture.
This video demonstrates the cephalomedullary nailing technique for the repair of an unstable intertrochanteric hip fracture after a low-energy injury. Anatomical reduction and stable fixation were obtained with this technique.
The case demonstrates a cephalomedullary technique of intertrochanteric fracture fixation using a cephalomedullary nail. The technique has significant advantages including minimal intraoperative blood loss, shorter operative times, potential for more biological healing with a load-sharing device, and low infection rate.
约半数髋部骨折为股骨转子间骨折。本视频演示了使用股骨近端髓内钉修复不稳定型转子间骨折的技术。
患者为 88 岁老年女性，因低能量损伤导致转子间骨折。由于骨折不稳定，患者适合手术治疗。
本视频演示了低能量损伤导致不稳定型转子间骨折后使用股骨近端髓内钉修复的技术。该技术可实现骨折的解剖复位和稳定固定。
本病例演示了使用股骨近端髓内钉治疗转子间骨折的技术。该技术具有显著优势，包括术中失血量少、手术时间短、采用可分担负荷的装置更有利于生物学愈合、以及感染率低。
