Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 16, 2021; 9(32): 9752-9761
Published online Nov 16, 2021. doi: 10.12998/wjcc.v9.i32.9752
Intracortical screw insertion plus limited open reduction in treating type 31A3 irreducible intertrochanteric fractures in the elderly
Xiao-Wen Huang, Gu-Qi Hong, Qiang Zuo, Qun Chen
Xiao-Wen Huang, Gu-Qi Hong, Qiang Zuo, Qun Chen, Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University (Jiangsu Province Hospital), Nanjing 210029, Jiangsu Province, China
Author contributions: Huang XW and Hong GQ performed the research and drafted the paper; Chen Q designed and supervised the research; Zuo Q contributed to data analysis; All authors contributed to editing, reviewing and final approval of article.
Supported by the National Natural Science Foundation of China, No. 81902206.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the first Affiliated Hospital of Nanjing Medical University.
Informed consent statement: All patients gave informed consent.
Conflict-of-interest statement: We have no financial relationships to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qun Chen, MD, Professor, Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University (Jiangsu Province Hospital), No. 300 Guangzhou Road, Gulou District, Nanjing 210029, Jiangsu Province, China. jsphgk001@aliyun.com
Received: May 12, 2021
Peer-review started: May 12, 2021
First decision: June 15, 2021
Revised: June 28, 2021
Accepted: August 24, 2021
Article in press: August 24, 2021
Published online: November 16, 2021
Core Tip

Core Tip: Intertrochanteric fractures are common hip fractures in elderly patients with osteoporosis. Most of them achieve satisfactory fracture reduction with closed reduction using a traction table. However, for type 31A3 fractures, limited open reduction of the broken end with different intraoperative reduction methods is usually required to achieve satisfactory reduction and fixation. Here a retrospective analysis was performed on 23 elderly cases with 31A3 type irreducible intertrochanteric fractures, who were treated by intracortical screw insertion plus limited open reduction at our hospital in the past 2 years. The clinical efficacy of this treatment approach was assessed.