The lesser trochanter “Sling fixation technique” in proximal intramedullary nailing of unstable intertrochanteric fractures: A polymer-based cerclage wiring

Villano, Marco; Innocenti, Massimo; Civinini, Roberto; Carulli, Christian; Civinini, Alessandro; Taha, Zyad Ayman; Lepri, Andrea Cozzi

doi:10.1016/j.jor.2022.08.013

Cited by 3 publications

(2 citation statements)

References 21 publications

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“…In recent literatures, it was reported that poor reduction and xation of LT fragment may be signi cantly associated with posterior sagging after operation [28]. Fixation with non-absorbable tape (Alfresa Pharma Co., Ltd., Japan), or twisted steel wires (Alfresa Pharma Co., Ltd., Japan) could be an effective procedure to improve early ambulatory ability [13,27,29]. Optimal management of posterior column fractures may need further research.…”

Section: Discussionmentioning

confidence: 99%

A novel computed tomography-based three-column MLP classification of intertrochanteric fracture

Jiang

Bai

Deng

et al. 2023

Preprint

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Background : The aim of the present study was to introduce a novel three-dimensional computed tomography (3DCT)-based three-column classification (named “MLP classification system”) of intertrochanteric fracture, and evaluate its reproducibility and reliability. Methods : From September 2020 to September 2022, a total of 258 consecutive patients (60 male, 198 female; mean age 81.3 years) with intertrochanteric fracture were included in this study. The fracture in each case was assessed using a novel three-dimension computed tomography-based three-column classification. Two examiners tested the intra and inter-observer reliability of this new classification system using kappa variance. Results : Intertrochanteric region was divided into medial column, lateral column and posterior column. Intertrochanteric fractures were documented as M0/1/2L0/1/2/3P0/1/2/3. All fractures were classifiable into the new classification system. The intra and inter-observer kappa value were 0.91 and 0.82 respectively, indicating almost perfect reliability. Conclusion : This novel 3DCT-based MLP classification system for intertrochanteric fractures is comprehensive, reproducible with good agreement. It is based on proximal femur biomechanic characteristics and traumatic mechanism, contributing to formulate more reasonable treatment protocols involving various late-model internal fixation systems.

show abstract

Section: Discussionmentioning

confidence: 99%

A novel computed tomography-based three-column MLP classification of intertrochanteric fracture

Jiang

Bai

Deng

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…In recent literature, it was reported that poor reduction and fixation of LT fragments may be significantly associated with posterior sagging of the femoral neck (28). Fixation with nonabsorbable tape (Alfresa Pharma Co., Ltd., Japan), or twisted steel wires (Alfresa Pharma Co., Ltd., Japan) could be an effective procedure to improve early ambulatory ability (13,27,29). The optimal management of fractures involving the posterior column still needs further research.…”

Section: Discussionmentioning

confidence: 99%

A novel computed tomography-based three-column MLP classification of intertrochanteric fracture

Jiang,

Li,

Bai

et al. 2023

J. Med. Invest.

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Objectives : The aim of the present study was to introduce a novel three-dimensional computed tomography (3DCT)-based three-column classification (named "MLP classification system") of intertrochanteric fractures and evaluate its reproducibility and reliability. Methods : From September 2020 to September 2022, a total of 258 consecutive patients (60 male, 198 female ; mean age 81.3 years) with intertrochanteric fractures were included in this study. The fracture in each case was assessed using a novel three-dimensional computed tomography-based three-column classification. Two examiners tested the intra and inter-observer reliability of this new classification system using kappa variance. Results : The intertrochanteric region was divided into the medial column, lateral column, and posterior column. Intertrochanteric fractures were documented as M0 / 1 / 2L0 / 1 / 2 / 3P0 / 1 / 2 / 3. All fractures were classifiable into the new classification system. The intra-observer kappa values were 0.91 and 0.89, while the inter-observer kappa value was 0.82, both indicating almost perfect reliability. Conclusion : This novel 3DCT-based MLP classification system for intertrochanteric fractures is comprehensive, and reproducible with good agreement. It is based on proximal femur biomechanic characteristics and traumatic mechanism, contributing to formulating more reasonable treatment protocols involving various late-model internal fixation devices.

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The interlocking lag screw design nail for pertrochanteric fracture: a systematic review of biomechanical studies using cadaveric specimens

LEGGIERI,

INNOCENTI,

FRANCO

et al. 2024

Minerva Orthop

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The lesser trochanter “Sling fixation technique” in proximal intramedullary nailing of unstable intertrochanteric fractures: A polymer-based cerclage wiring

Cited by 3 publications

References 21 publications

A novel computed tomography-based three-column MLP classification of intertrochanteric fracture

A novel computed tomography-based three-column MLP classification of intertrochanteric fracture

A novel computed tomography-based three-column MLP classification of intertrochanteric fracture

The interlocking lag screw design nail for pertrochanteric fracture: a systematic review of biomechanical studies using cadaveric specimens

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