The Clinical Efficacy of Minimally Invasive Clamp-Assisted Reduction and Open Reduction with Wire Cerclage for Unstable Subtrochanteric Fractures

Figure 4

Preoperative X-ray of the patient, Seinsheime classification V (a). During the operation, the length of the fracture was restored by traction with the retractor, and the displacement of the fracture block was obvious (b). By the minimally invasive way, the reduction forceps are used to reduce the fracture piece from the front and the outside to achieve anatomical reduction as far as possible (c). X-ray examination was performed 2 days after surgery. It showed that the fracture piece was displaced, which proved that the fracture piece was unstable (d). Two months after the operation, it was found that there was no callus formation at the fracture site, and the fracture line was still clear (e). Six months after the operation, it was found that a large number of calluses formed at the end of the fracture, and the fracture healed well (f).

(a)

(b)

(c)

(d)

(e)

(f)