"Virtual Lateral Wall" Technique to Overcome Nail Entry Pathway Errors and Optimize Success of Intramedullary Nailing in Pertrochanteric Fractures.

ABSTRACT:

Objective

The use of intramedullary implants for the treatment of pertrochanteric fractures is well-established. Nail entry pathway error is a common intraoperative challenge, particularly in pertrochanteric fractures with unstable greater trochanter fragment. This study introduces our innovative virtual lateral wall technique, which allows "lateral wall fracture" simplification from unstable to stable and effectively guides the reamer to create an accurate entry pathway for nail insertion in the treatment of pertrochanteric fractures.

Methods

A retrospective study was conducted on 12 consecutive cases of pertrochanteric fractures in our department between September 2022 and January 2024. The study population included three men and nine women, aged 68-90 years. Fractures wer

SUBMITTER: Guo Q 

PROVIDER: S-EPMC12318683 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature