Anteromedial Cortical Support in Reduction of Trochanteric Hip Fractures: From Definition to Application.

J Bone Joint Surg Am · Jun 05 2024 · Review

Mao W, Liu CD, Chang SM, Yang AL, Hong CC

Department of Orthopaedic Surgery, Yangpu Hospital, School of Medicine, People's Republic of China

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review explains the anteromedial cortical support concept and Chang reduction quality criteria as tools to guide and evaluate intraoperative reduction of trochanteric hip fractures.
Abstract, as published

➤ 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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