Wen Liangyuan, MD; Zhang Ze, Sun Fengpo, Liu Junchuan, Zhang Tongyi, Zhang Yawen, Ji Quan, MD | Department of Orthopaedics, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing
Competition Sponsor: Chinese Academy of Medical Sciences
Award year: 2021
At present, geriatric hip fractures had become a significant public health issue worldwide due to the high mortality and disability rate and huge medical expenses. For the treatment of fracture, the good reduction is the key factor to success. Generally speaking, for irreducible femoral neck fractures and intertrochanteric fractures, open reduction or limited open reduction combined with other tools are usually used to achieve the restoration of the fracture. However, this conventional method of reduction has the characteristics of larger trauma, unstable reduction effect, long operation time, and high risk of complication.
To this end, our team has successfully established a new strategy for hip fractures based on the concept of non-invasive reduction and the biomechanical principle. The implementation of this strategy relies on the support stick which is independently developed by our team. Our strategy can achieve a nearly non-invasive reduction of irreducible hip fractures. Our strategy has the following advantages: ① Shorter reduction time; ② Less destruction in blood supply and less blood loss during the operation; ③The support for the lower limb is stable and the reduction could be firmly maintained;④Less frequency of X-ray and lower radiation damage for the operators.
Our reduction method with a supporting stick is innovative in the field of geriatric hip fractures, especially for irreducible hip fractures. By using our scientific, simple, and efficient strategy, the complex problems of reduction of the irreducible hip fracture could be solved with great ease.