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Anteromedial Cortical Support in Reduction of Trochanteric Hip Fractures: From Definition to Application
Wei Mao1,2, Chen-Dong Liu1, Shi-Min Chang1
1Department of Orthopaedic Surgery, Yangpu Hospital, School of Medicine, Tongji University, Shanghai, People's Republic of China.
Abstract:
➤ The concept of anteromedial cortical support (AMCS) serves as valuable guidance for the intraoperative reduction of trochanteric hip fractures.➤ Positive medial cortical support (MCS) and positive or neutral anterior cortical support (ACS) are desirable. Some evidence has suggested that positive MCS is potentially superior to neutral MCS.➤ Experimental studies underscore the vital importance of the anteromedial wall and reveal why positive MCS potentially outperforms neutral MCS.➤ Incorporating the AMCS concept, the Chang reduction quality criteria (CRQC) are a reliable alternative approach to evaluate the reduction quality of trochanteric hip fractures.
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