The “double-intra” pertrochanteric femur fracture: an irreducible and redisplaceable fracture pattern

The "double-intra" pattern is a specific irreducible PFF with difficulty in reduction and proneness to redisplacement perioperatively and postoperatively. Achieving a "double-positive" alignment of the anteromedial cortex and using temporary K-wire fixation as a routine procedure before nailing is essential to prevent reduction loss and improve the likelihood of maintaining the AMCS.

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Publication Details

Journal
Journal of Orthopaedic Surgery and Research
Published
2025-12-04
DOI
https://doi.org/10.1186/s13018-025-06545-x
Primary Topic
Hip and Femur Fractures
Type
article
Field-Weighted Citation Impact
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article

The “double-intra” pertrochanteric femur fracture: an irreducible and redisplaceable fracture pattern

Shi‐Min Chang, Sun-Jun Hu, Haotao Li, Wenfeng Xiong et al.
Journal of Orthopaedic Surgery and Research
Hip and Femur Fractures
article

The “double-intra” pertrochanteric femur fracture: an irreducible and redisplaceable fracture pattern

Shi‐Min Chang, Sun-Jun Hu, Haotao Li, Wenfeng Xiong, Yiming Qi, Shou-Chao Du
article en

Abstract

The "double-intra" pattern is a specific irreducible PFF with difficulty in reduction and proneness to redisplacement perioperatively and postoperatively. Achieving a "double-positive" alignment of the anteromedial cortex and using temporary K-wire fixation as a routine procedure before nailing is essential to prevent reduction loss and improve the likelihood of maintaining the AMCS.

Journal of Orthopaedic Surgery and ResearchVol. 21(1)
Tongji University (CN), Shanghai Tenth People's Hospital (CN), Yangpu Hospital of Tongji University (CN)
Openalex Percentile: Top 42%
Hip and Femur Fractures
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The “double-intra” pertrochanteric femur fracture: an irreducible and redisplaceable fracture pattern — Shi‐Min Chang, Sun-Jun Hu, et al. · Journal of Orthopaedic Surgery and Research (2025) | TGRS Research Map | TGRS