AUTHOR=Li Xiaodong , Zhao Chen , Sun Guantong , Liu Pengcheng , Tang Jian , Yang Fei , Wang Xiaoqing 

TITLE=Accurate reduction of medial arch fracture fragments in intertrochanteric fractures: A novel technical note

JOURNAL=Frontiers in Surgery

VOLUME=10

YEAR=2023

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2023.1140250

DOI=10.3389/fsurg.2023.1140250

ISSN=2296-875X

ABSTRACT=<p>Intramedullary fixation is currently used to stabilize intertrochanteric fractures. Surgical reduction of the medial arch cortex is crucial to achieve stabilization of the internal fixation system, however, it is challenging to perform. To ensure anatomical reduction, we developed a novel surgical technique to assist in achieving accurate and convenient reduction. In this technique, right-angle forceps were used to pry and reset medial arch cortex fragments <italic>via</italic> a mini-helical blade incision. Noteworthily, all patients who underwent this technique achieved anatomical reduction with reduced operation times and bleeding. Our article illustrates intraoperative reduction techniques and summarizes tips and tricks that may be beneficial and educative for orthopedists.</p>