Department of Orthopaedics, Zhongda Hospital, Southeast University, 87 Ding Jia Qiao, Nanjing, Jiangsu, 210009, China; Trauma Center, Zhongda Hospital, Southeast University, 87 Ding Jia Qiao, Nanjing, Jiangsu, 210009, China; Orthopaedic Trauma Institute (OTI), Southeast University, Nanjing, Jiangsu, 210009, China; Multidisciplinary Team (MDT) for Geriatric Hip Fracture Management Zhongda Hospital, School of Medicine Southeast University, Nanjing, Jiangsu, China.
Injury. 2024 Dec;55(12):111926. doi: 10.1016/j.injury.2024.111926. Epub 2024 Oct 2.
The intertrochanteric fracture is a common fragility fracture typically resulting from low-energy falls. The functional outcome of intertrochanteric fractures is closely linked to the patient's underlying physical condition, intraoperative procedures, and postoperative complications. In terms of surgery, while timely surgery and appropriate internal fixation have demonstrated favorable outcomes, attention to intraoperative reduction is crucial. In recent years, there have been further developments in the evaluation of reduction of intertrochanteric fractures, particularly in the anteromedial cortical reduction, and these advances have been further scientifically elucidated in terms of their ability to provide stable fracture reduction and resist loss of reduction. In order to gain a comprehensive understanding of the anteromedial cortex theory, this article reviewed the anatomy, related theoretical progress, and controversies in recent years.
股骨转子间骨折是一种常见的脆性骨折，通常由低能量跌倒引起。股骨转子间骨折的功能结果与患者的基础身体状况、手术过程和术后并发症密切相关。在手术方面，虽然及时手术和适当的内固定已显示出良好的结果，但术中复位的注意事项至关重要。近年来，股骨转子间骨折复位的评估方法进一步发展，特别是在前内侧皮质复位方面，这些进展在提供稳定骨折复位和抵抗复位丢失的能力方面得到了进一步的科学阐明。为了全面了解前内侧皮质理论，本文综述了近年来的解剖学、相关理论进展和争议。
