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Original Research 


Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position

Mohanad Husam Uldin Sadeq, Ghadeer Hikmat Majeed, Hayder Omran Hayat Ali, Mohammed Ali Al Bayati, Mohammed Shihab Aledanni, Sadiq Abaas Al-mukhtar.


Abstract
Objective: To compare two positioning approaches in the surgical treatment of unstable intertrochanteric femoral fractures fixed by proximal femoral nailing, the supine versus lateral decubitus position
Methodology: This randomized prospective comparative study on 26 patients with unstable intertrochanteric fractures was carried out from January 2020 and June 2022. We randomly divided patients into two groups: group A (13 patients) were operated using the traction table in the supine position for implant insertion, and group B (13 patients) were operated using the lateral decubitus position. We compared both groups regarding the setup time, operative time, tip-to-apex distance, collodiaphyseal angle, time for fluoroscopic time exposure, and radiologic reduction of the fracture using Chang criteria.
Results: The setup, fluoroscopic exposure, and surgical times were shorter in the lateral decubitus group with statistical significance. The collodiaphyseal angles, the tip-to-apex distance, and the radiological fracture reduction were not significantly different between two groups.
Conclusions: The lateral decubitus positioning is superior to the supine position in setup, fluoroscopic exposure, and surgical times

Key words: Unstable intertrochanteric fractures, proximal femoral nailing, collodiaphyseal angles.


 
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How to Cite this Article
Pubmed Style

Sadeq MHU, Majeed GH, Ali HOH, Bayati MAA, Aledanni MS, Al-mukhtar SA. Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position. RMJ. 2023; 48(4): 863-867. doi:10.5455/rmj.20230520052559

Web Style

Sadeq MHU, Majeed GH, Ali HOH, Bayati MAA, Aledanni MS, Al-mukhtar SA. Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position. https://www.rmj.org.pk/?mno=154016 [Access: January 22, 2025]. doi:10.5455/rmj.20230520052559

AMA (American Medical Association) Style

Sadeq MHU, Majeed GH, Ali HOH, Bayati MAA, Aledanni MS, Al-mukhtar SA. Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position. RMJ. 2023; 48(4): 863-867. doi:10.5455/rmj.20230520052559


Vancouver/ICMJE Style

Sadeq MHU, Majeed GH, Ali HOH, Bayati MAA, Aledanni MS, Al-mukhtar SA. Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position. RMJ. (2023), [cited January 22, 2025]; 48(4): 863-867. doi:10.5455/rmj.20230520052559


Harvard Style

Sadeq, M. H. U., Majeed, . G. H., Ali, . H. O. H., Bayati, . M. A. A., Aledanni, . M. S. & Al-mukhtar, . S. A. (2023) Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position. RMJ, 48 (4), 863-867. doi:10.5455/rmj.20230520052559


Turabian Style

Sadeq, Mohanad Husam Uldin, Ghadeer Hikmat Majeed, Hayder Omran Hayat Ali, Mohammed Ali Al Bayati, Mohammed Shihab Aledanni, and Sadiq Abaas Al-mukhtar. 2023. Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position. Rawal Medical Journal, 48 (4), 863-867. doi:10.5455/rmj.20230520052559


Chicago Style

Sadeq, Mohanad Husam Uldin, Ghadeer Hikmat Majeed, Hayder Omran Hayat Ali, Mohammed Ali Al Bayati, Mohammed Shihab Aledanni, and Sadiq Abaas Al-mukhtar. "Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position." Rawal Medical Journal 48 (2023), 863-867. doi:10.5455/rmj.20230520052559


MLA (The Modern Language Association) Style

Sadeq, Mohanad Husam Uldin, Ghadeer Hikmat Majeed, Hayder Omran Hayat Ali, Mohammed Ali Al Bayati, Mohammed Shihab Aledanni, and Sadiq Abaas Al-mukhtar. "Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position." Rawal Medical Journal 48.4 (2023), 863-867. Print. doi:10.5455/rmj.20230520052559


APA (American Psychological Association) Style

Sadeq, M. H. U., Majeed, . G. H., Ali, . H. O. H., Bayati, . M. A. A., Aledanni, . M. S. & Al-mukhtar, . S. A. (2023) Fixation of unstable intertrochanteric fractures with proximal femoral nailing: Supine position with traction table versus lateral decubitus position. Rawal Medical Journal, 48 (4), 863-867. doi:10.5455/rmj.20230520052559


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