Research Progress of the Surgical Treatment of Subtrochanteric Fractures of the Femur
DOI:
https://doi.org/10.53469/jcmp.2024.06(07).31Keywords:
Femoral trochanter, Fracture, Surgical treatment, Research progressAbstract
Subtrochanteric femur fracture (SFF) is one of the more common diseases in traumatological orthopaedics, with two types of prevalent populations: young people with high-energy injuries and elderly people with low-energy injuries. Due to the special anatomical location of the subtalar femoral region, perioperative complications, and complex underlying diseases in elderly patients, SFF has become very challenging in clinical treatment. With the gradual attention of many scholars to this disease and the continuous improvement of clinical surgical techniques, there are more and more methods for the treatment of SFF, and its results are getting better and better. In this article, we review the anatomical features, typing and progress of surgical treatment methods of SFF in order to provide more new solutions for the clinical treatment of SFF in the future.
References
Mattisson L, Bojan A, Enocson A. Epidemiology, treatment and mortality of trochanteric and subtrochanteric hip fractures: data from the Swedish fracture register[J]. BMC Musculoskelet Disord, 2018, 19(1): 369.
Cao Guozheng, Wang Qingxian. Research progress on femur fractures [J]. Chinese Journal of Bone and Joint Injury, 2024, 39(6): 615-619.
Jackson C, Tanios M, Ebraheim N. Management of subtrochanteric proximal femur fractures: a review of recent literature[J]. Adv Orthop, 2018, 2018: 1326701.
Farouk O, Krettek C, Miclau T, et al. The topography of the perforating vessels of the deep femoral artery[J]. Clin Orthop Relat Res, 1999, (368): 255-259.
Lexer E, Kulga P, Turk W. Berlin: A. Hirschwald [J]. Untersuchungen über Knochenarterien. 1904.
Grob K, Manestar M, Lang A, et al. Effects of ligation of lateral inter-muscular septum perforating vessels on blood supply to the femur[J]. Injury, 2015, 46(12): 2461-2467.
Sharma DK, Kumar N, Mishra V, et al. Replacement arthroplasty Vascular injuries in total hip: a review of the problem[J]. Am J Orthop (Belle Mead NJ), 2003, 32(10): 487-491.
Aleto T, Ritter MA, Berend ME. Case report: superficial femoral artery injury resulting from cerclage wiring during revision THA [J]. Clin Orthop Relat Res, 2008, 466(3): 749-753.
Hong Yixia, Fu Xuanjian, Jia Zhaofeng, et al. Advances in surgical treatment of subtrochanical fractures of the femur[J]. Chinese Journal of Bone and Joint Injury, 2021, 36(2): 219-222.
Luo Xianzheng, Qiu Guixing, Liang Guosui. Intramedullary nail internal fixation [M]. 2 version. Beijing: People's Health Publishing House, 2008: 125-133.
Wang J, Ma JX, Lu B, et al. Comparative finite element analysis of three implants fixing stable and unstable subtrochanteric femoral Fractures: proximal femoral nail antirotating (PFNA), proximal femoral locking plate (PFLP), and reverse less invasive stabilization system (LISS)[J]. Orthop Traumatol Surg Res, 2020, 106(1): 95-101.
Simmermacher RK, Bosch AM, Van der Werken C. The AO/ASIF proximal femoral nail (PFN): a new device for the treatment of unstable proximal femoral fractures[J]. Injury, 1999, 30(5): 327-332.
Huang X, Zhang F, Zhang Y. Case series and finite element analysis of PFNA combined with cerclage wire for treatment of subtrochan-teric fracture of femur[J]. J Orthop Surg Res, 2021, 16(1): 70.
Yang Jun, Gu Shiwei. Clinical retrospective study of using the reconstruction of intramedullary nail combined with titanium cable for treating Seinsheimer Ⅲ-Ⅴ type subtrochanteric femoral fractures[J]. Journal of Traumatic Surgery, 2011, 13(4): 360.
Guan GP, Wang X, Wang C, et al. Comparison of PFNA and DHS in the treatment of sarcopenia with Seinsheimer type V subtrochanteric fracture[J]. Eur Rev Med Pharmacol Sci, 2023, 27(10): 4442-4449.
Zhu Yanbin, Chen Wei, Ye Dandan, et al. Proximal Femur N Triangle Theory and the Design Concept of Proximal Femur Bionic Nail (PFBN)[J/CD]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation (Electronic Edition), 2021, 7(5): 257-259.
Chen P, Fan Z, Xu N, et al. A biomechanical investigation of a novel intramedullary nail used to salvage failed internal fixations intertrochanteric fractures[J]. J Orthop Surg Res, 2023, 18(1): 632.
Latifi MH, Ganthel K, Rukmanikanthan S, et al. Prospects of implant with locking plate in fixation of subtrochanteric fracture: experimental demonstration of its potential benefits on synthetic femur model with supportive hierarchical nonlinear hyperplastic finite element analysis[J]. Biomed Eng Online, 2012, 11: 23.
Saini P, Kumar R, Shekhawat V, et al. Biological fixation of comminuted subtrochanteric fractures with proximal femur locking compression plate[J]. Injury, 2013, 44(2): 226-231.
Chen Liang, Chen Qiaojie, Wu Shaokun. Comparative study of plate external fixation with intramedullary fixation in the treatment of femoral trochanter fracture[J]. Clinical Education of General Practice, 2015, 13(1): 35-36.
Hiyama S, Takahashi T, Matsumura T, et al. Open reduction and internal fixation using a locking compression plate as treatment for subtrochanteric fracture in two patients with osteopetrosis[J]. Injury, 2020, 51(2): 565-569.
Sowmianarayanan S, Chandrasekaran A, Kumar RK. Finite element analysis of a subtrochanteric fractured femur with dynamic hipscrew, dynamic condylar screw, and proximal femur nail implants-a comparative study[J]. Proc Inst Mech Eng H, 2008, 222(1): 117-127.
Zhang Gonglin, Ge Baofeng. Progress of operation treatment for subtrochanteric fractures[J]. China Journal of Orthopaedics and Traumatology, 2011, 24(9): 791-793.
Xing Ziyang, Yan Zhenrong, Qin Hongjie, et al. Advances in the treatment of femur rough fractures[J]. Journal of Chengde Medical University, 2024, 421(2): 149-153.
Forward DP, Doro CJ, O'toole RV, et al. A biomechanical comparison of a locking plate, a nail, and a 95°angled blade plate for fixation of subtrochanteric femoral fractures[J]. Journal of Orthopaedic Trauma, 2012, 26(6): 334-340.
Meng Weiming, Li Yanmei, Xu Hongsheng, et al. Standardization of extramedullary and intramedullary fixations for subtrochanteric fracture[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(22): 3587-3592.
Afsari A, Liporace F, Lindvall E, et al. Clamp-assisted reduction of high subtrochanteric fractures of the femur: surgical technique[J]. J Bone Joint Surg Am, 2010, 92 (Suppl 1 Pt 2): 217-225.
Mingo-Robinet J, Torres-Torres M, Moreno-Barrero M, et al. Minimally invasive clamp-assisted reduction and cephalomedullary nailing without cerclage cables for subtrochanteric femur fractures in the elderly: Surgical technique and results[J]. Injury, 2015, 46(6): 1036-1041.
HUANG Xiao-chuan, LI Hong-han, CHEN Jin-long, et al. Plate-enhanced intramedullary nail fixation for femoral subtrochanteric fractures[J]. Orthopedic Journal of China, 2021, 29(20): 1843-1847.
Wang ZH, Li KN, Lan H, et al. A comparative study of intramedul lary nail strengthened with auxiliary locking plate or steel wire in the treatment of unstable trochanteric fracture of femur[J]. Ortho Surg, 2020, 12(1): 108-115.
Hong Shengkun, Wang Wei, He Feixiong, et al. Limited incision reduction of the proximal femur anti-rotation intramedullary nail combined with steel cable ligation internal fixation for the treatment of femur subtrochanic fracture[J]. Chinese Journal of Bone and Joint Injury, 2022, 37(4): 402-404.
Rehme J, Woltmann A, Brand A, et al. Does auxiliary cerclage wiring provide intrinsic stability in cephalomedullary nailing of trochanteric and subtrochanteric fractures? [J]. Int Orthop, 2021, 45(5): 1329-1336.
Kilinc BE, Oc Y, Kara A, et al. The effect of the cerclage wire in the treatment of subtrochanteric femur fracture with the long proximal femoral nail: a review of 52 cases[J]. Int J Surg, 2018, 56: 250-255.
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Copyright (c) 2024 Yilong Fu, Kun Zhang, Haoran Li, Erdong Shen
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