Evaluation of reduction quality and implant positioning in intertrochanteric fracture fixation: A review of key radiographic parameters

doi:10.5312/wjo.v16.i8.106982

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World Journal of Orthopedics

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2218-5836

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Orthop. Aug 18, 2025; 16(8): 106982
Published online Aug 18, 2025. doi: 10.5312/wjo.v16.i8.106982

Table 2 Chang Reduction Quality Criteria

I Alignment

a: AP view: Normal or slight valgus NSA

b: Lateral view: Less than 20° of angulation

II Displacement

a: AP view: Neutral or positive medial cortical support

b: Lateral view: Smooth anterior cortical contact

Reduction quality:

Excellent: All four sub criteria met

Acceptable: Two or three sub criteria met

Poor: One or no sub criterion met

AP: Anteroposterior; NSA: Neck shaft angle.

Citation: Wittauer M, Henry J, Sánchez-Rosenberg G, Lambers AP, Jones CW, Yates PJ. Evaluation of reduction quality and implant positioning in intertrochanteric fracture fixation: A review of key radiographic parameters. World J Orthop 2025; 16(8): 106982
URL: https://www.wjgnet.com/2218-5836/full/v16/i8/106982.htm
DOI: https://dx.doi.org/10.5312/wjo.v16.i8.106982