Frontiers in medical technology · 2026
Clinical efficacy of the lateral decubitus position in the treatment of irreducible trochanteric fractures with bisection of the lesser trochanter.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Yu Xiang, Hu Hong-Kui, Li Yu-Zhi, Li Xiao-Kai, Chen Fan-Cheng, Li Xu, Lu Hai-Jian, Yu Bao-Qing, Ao Rong-Guang
Аннотация
OBJECTIVE: To compare the clinical efficacy of the lateral decubitus position versus the supine traction table position in patients with irreducible trochanteric fractures featuring bisection of the lesser trochanter.
METHODS: We retrospectively analyzed 48 patients with this fracture pattern. Patients were divided into Group A (supine on traction table, n = 24) and Group B (lateral decubitus, n = 24). All underwent limited open reduction and PFNA fixation. We compared perioperative metrics (prep/time/fluoroscopy/blood loss), hospital stay, healing time, and 1-year outcomes (VAS, Harris score, reduction quality, complications).
RESULTS: Compared with the supine traction table group, the lateral decubitus group demonstrated significantly shorter preoperative preparation time (10.86 ± 2.24 vs. 18.21 ± 5.13 min, P < 0.001), total operative time (88.74 ± 20.72 vs. 118.45 ± 30.33 min, P = 0.010), fewer intraoperative fluoroscopies (58.24 ± 14.82 vs. 82.27 ± 25.44, P = 0.010), and reduced intraoperative blood loss (208.94 ± 67.55 vs. 288.56 ± 90.34 mL, P = 0.023). No significant differences were found in hospital stay, fracture healing time, or 1-year clinical/radiographic outcomes (P > 0.05).
CONCLUSION: For irreducible trochanteric fractures with bisected lesser trochanters, the lateral decubitus position serves as an optimized surgical workflow and is associated with perioperative efficiency benefits over the supine traction table position, including significantly shortened operative time, reduced fluoroscopy use, and decreased blood loss.
METHODS: We retrospectively analyzed 48 patients with this fracture pattern. Patients were divided into Group A (supine on traction table, n = 24) and Group B (lateral decubitus, n = 24). All underwent limited open reduction and PFNA fixation. We compared perioperative metrics (prep/time/fluoroscopy/blood loss), hospital stay, healing time, and 1-year outcomes (VAS, Harris score, reduction quality, complications).
RESULTS: Compared with the supine traction table group, the lateral decubitus group demonstrated significantly shorter preoperative preparation time (10.86 ± 2.24 vs. 18.21 ± 5.13 min, P < 0.001), total operative time (88.74 ± 20.72 vs. 118.45 ± 30.33 min, P = 0.010), fewer intraoperative fluoroscopies (58.24 ± 14.82 vs. 82.27 ± 25.44, P = 0.010), and reduced intraoperative blood loss (208.94 ± 67.55 vs. 288.56 ± 90.34 mL, P = 0.023). No significant differences were found in hospital stay, fracture healing time, or 1-year clinical/radiographic outcomes (P > 0.05).
CONCLUSION: For irreducible trochanteric fractures with bisected lesser trochanters, the lateral decubitus position serves as an optimized surgical workflow and is associated with perioperative efficiency benefits over the supine traction table position, including significantly shortened operative time, reduced fluoroscopy use, and decreased blood loss.