Study about Blunt Hohman-Lever Technique for Reduction of Intertrochanteric Fracture

Abstract

Intertrochanteric and subtrochanteric fractures are common in the elderly and are caused by a fall from a standing height. A 60 years old patient who presented to the emergency room after sustaining domestic fall and sustained injury to the right hip and was diagnosed with inter trochanteric fracture right side. Failure of closed reduction demanded a use of alternative measures and bone spike was not available in the set, we designed our own technique of using a bone lever introduced from the same incision from where reaming/nail insertion was done. This avoided extension of the incision for open reduction and preserved the biology. This technique has never been described before in English literature. Since our first case, we have successfully used it on 6 other patients.