The use of an external fixator system with Hey Groves bone clamps in transverse femoral shaft fractures

摘要

BACKGROUND:Intrameduliary fixation for subtrochanteric femoral fractures has gained popularity in recent years. Obtaining and holding adequate reduction in order to pass the guidewire can pose a major obstacle when there are significant deforming forces on the proximal fragment. This can necessitate a mini open procedure to align the distal and proximal fragments. In short oblique or spiral fractures, careful application of Hey Groves bone holding forceps encircling both fragments can hold the reduction successfully. However, in transverse fractures, a single clamp will not suffice. Assistance is often required to align the proximal and distal segments with two forceps in order to pass the guidewire. We describe a technique allowing a single surgeon to hold adequate alignment without requiring assistance.