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Banding with lesser trochanter fragment using nonabsorbable tape in trochanteric femoral fractures.

Authors
  • Usami, Takuya1
  • Takada, Naoya2
  • Nishida, Kazuki3
  • Sakai, Hiroaki1
  • Iwata, Hidetoshi2
  • Sekiya, Isato2
  • Ueki, Yoshino4
  • Murakami, Hideki1
  • Kuroyanagi, Gen4
  • 1 Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601 Aichi, Japan. , (Japan)
  • 2 Department of Orthopaedic Surgery, Kainan Hospital, Yatomi, 498-8502 Aichi, Japan. , (Japan)
  • 3 Center for Advanced Medicine and Clinical Research Nagoya University Hospital, Nagoya, 466-8560 Aichi, Japan. , (Japan)
  • 4 Department of Orthopaedic Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601 Aichi, Japan - Department of Rehabilitation Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, 467-8601 Aichi, Japan. , (Japan)
Type
Published Article
Journal
SICOT-J
Publication Date
Jan 01, 2021
Volume
7
Pages
33–33
Identifiers
DOI: 10.1051/sicotj/2021032
PMID: 34009117
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Trochanteric femoral fracture is one of the most common fractures in the elderly. Trochanteric femoral fracture with involvement of the lesser trochanter is considered unstable and recognized as having a poor prognosis. However, fixation of lesser trochanter fragment is scarce because of technical difficulties. In this study, we reported the simple surgical procedure and the effect of using nonabsorbable tape in lesser trochanter fixation. From January 2014 to December 2017, 114 patients treated with proximal intramedullary nailing for trochanteric fractures with the lesser trochanter fragment were reviewed. Among patients enrolled in this study, 73 were followed up until radiographic bone union, of which 26 were treated with lesser trochanter fragment banding (group B) and 47 without banding (group N). Radiographs and/or computed tomography images were used to evaluate bone union of the lesser trochanter fragment at three months postoperatively. The bone union of the lesser trochanter fragment was achieved in 24 cases (92%) in group B and 30 cases (64%) in group N. Compared with group N, group B showed a significantly increased number of mild and moderate deformities but decreased number of severe deformity and nonunion (P < 0.001). Postoperative complications were not observed in both groups. From the viewpoint of increasing lesser trochanteric bone union ratio, fixation of the lesser trochanter fragment using nonabsorbable tape in the treatment of trochanteric fractures could be an effective procedure. © The Authors, published by EDP Sciences, 2021.

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