Scholarlink

The patient is fixed on a hip spica table, and the fracture is reduced. Under suitable anaesthesia, a 10-cm incision is made on the lateral aspect of the greater trochanter and a suitable window is made over the base of the greater trochanter. A Kirschner wire is passed along the calcar femorale, reaching the sub-articular level. Another Kirschner wire is passed in the same direction about 1 cm above the previous one. Twenty centimetres of the fibular shaft is retrieved subperiosteally and divided into two struts of 10 cm each. The struts are now slid over the Kirschner wires proximally up to the subchondral level (Fig. 11.1a–c). With this procedure, the fibular struts occupy the entire neck of the femur with a biological fixation of the fracture. In case the fixation is stable, the Kirschner wires can also be removed.

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Twin NVFG Used for Fixation of Early Femoral Neck Fractures

  • 章节

  • 发表日期：

    2025年

查看全文
  • Surender Singh Yadav

摘要

The patient is fixed on a hip spica table, and the fracture is reduced. Under suitable anaesthesia, a 10-cm incision is made on the lateral aspect of the greater trochanter and a suitable window is made over the base of the greater trochanter. A Kirschner wire is passed along the calcar femorale, reaching the sub-articular level. Another Kirschner wire is passed in the same direction about 1 cm above the previous one. Twenty centimetres of the fibular shaft is retrieved subperiosteally and divided into two struts of 10 cm each. The struts are now slid over the Kirschner wires proximally up to the subchondral level (Fig. 11.1a–c). With this procedure, the fibular struts occupy the entire neck of the femur with a biological fixation of the fracture. In case the fixation is stable, the Kirschner wires can also be removed.