Open AccessThe Efficacy of Suture Fixation of the Greater Trochanter in Unstable Intertrochanteric Fractures
Author(s) -
Ki-Choul Kim,
Hee-Gon Park,
Jae-Wook Park
Publication year - 2021
Publication title -
clinics in orthopedic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.002
H-Index - 34
eISSN - 2005-4408
pISSN - 2005-291X
DOI - 10.4055/cios20294
Subject(s) - medicine , surgery , fixation (population genetics) , lesser trochanter , trochanter , blood loss , fibrous joint , dynamic hip screw , greater trochanter , intertrochanteric fracture , osteoporosis , femur , femoral neck , population , environmental health
Intertrochanteric fractures are one of the most common fractures in the elderly, especially those having osteoporosis. Stable intertrochanteric fractures may be fixed with implants including the dynamic hip screw and proximal femoral nail antirotation; however, this method is difficult to apply to unstable fractures. Bipolar hemiarthroplasty can be applied to unstable fractures and it prevents complications by facilitating early ambulation in the elderly. Many studies reported on how to fix the greater trochanter in unstable fractures during arthroplasty. We suggest that suture fixation alone can be a useful, effective, and affordable method.