股骨转子间骨折累及内侧壁损伤患者治疗策略的研究进展

doi:10.13481/j.1671-587X.20260132

Abstract

Abstract:

Intertrochanteric femoral fracture （ITFF） refers to a fracture occurring between the greater trochanter and the lesser trochanter， which is an extracapsular fracture of the hip joint. Among these， the type involving medial wall injury is relatively common in clinical practice. The treatment for ITFF involving medial wall injury is primarily surgical. Surgical methods mainly include extramedullary fixation and intramedullary fixation. However， there is currently no unified consensus on which internal fixation method to adopt， especially for complex cases involving medial wall instability， where the choice between extramedullary and intramedullary fixation remains controversial. The optimal treatment approach requires individualized decision-making based on the stability of the medial wall and the patient’s baseline conditions， such as bone quality， complications， and age. Nevertheless， for patients with unstable medial wall injury， priority should be given to restoring the bony support of the medial wall and cortical continuity to reconstruct mechanical stability and reduce the risk of internal fixation failure. This article reviews the anatomical structure of the intertrochanteric region， the injury mechanism of ITFF， fracture classification， biomechanical research， and internal fixation treatment methods for ITFF involving medial wall injury. It systematically compares the advantages and disadvantages of different fixation strategies， aiming to provide the reference for the treatment of ITFF patients with medial wall injury， with the goal of improving patient prognosis and promoting standardized clinical management.

Key words: Intertrochanteric femoral fracture, Medial wall, Anatomical structure, Fracture classification, Internal fixation

CLC Number:

R683.42

Jinhu MIAO,Jin DAI,Zhihao CHEN,Guoxi SHAO. Research progress in treatment strategies for patients with intertrochanteric femoral fractures involving medial wall damage[J].Journal of Jilin University(Medicine Edition), 2026, 52(1): 290-298.

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Research progress in treatment strategies for patients with intertrochanteric femoral fractures involving medial wall damage

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