The anterior and medial reduction of intertrochanteric fractures: a simple method to obtain a stable reduction.

Abstract

This article describes a simple method using anterior and medial bone contact of the distal shaft piece to obtain a stable reduction for displaced intertrochanteric fractures of the hip. The technique is based on the observation that the anterior pathoanatomy of the intertrochanteric hip fracture involves a noncomminuted fracture plane that can be placed into contact. This reestablishes a normal neck shaft angle and prevents excessive collapse of the fracture site. The maneuver is described in the context of the fracture pathoanatomy and the use of a fracture table.