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

Figure 6

Preoperative X-ray of the patient, Seinsheime classification IV (a). During the operation, the length of the fracture was restored by traction with the retractor. Then, closed reduction was used during the operation. The gold finger was used to pass through the broken end of the fracture, and the full length intramedullary nail was fixed (b, c). Two months after the operation, the position of internal fixation was good, and there was no sign of fracture healing (d). Six months after the operation, X-ray examination showed that the proximal fracture line was blurred, and the distal fracture line was still clearly visible (e). Twelve months after the operation, X-ray examination showed that the proximal fracture line disappeared, the distal fracture line was clear, and the broken end of the fracture hardened and was diagnosed as atrophic nonunion (f).