{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:54:51Z","timestamp":1781848491420,"version":"3.54.5"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med. Technol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare the clinical efficacy of the lateral decubitus position versus the supine traction table position in patients with irreducible trochanteric fractures featuring bisection of the lesser trochanter.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively analyzed 48 patients with this fracture pattern. Patients were divided into Group A (supine on traction table,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924) and Group B (lateral decubitus,\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200924). All underwent limited open reduction and PFNA fixation. We compared perioperative metrics (prep\/time\/fluoroscopy\/blood loss), hospital stay, healing time, and 1-year outcomes (VAS, Harris score, reduction quality, complications).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Compared with the supine traction table group, the lateral decubitus group demonstrated significantly shorter preoperative preparation time (10.86\u2009\u00b1\u20092.24 vs. 18.21\u2009\u00b1\u20095.13\u2005min,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001), total operative time (88.74\u2009\u00b1\u200920.72 vs. 118.45\u2009\u00b1\u200930.33\u2005min,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.010), fewer intraoperative fluoroscopies (58.24\u2009\u00b1\u200914.82 vs. 82.27\u2009\u00b1\u200925.44,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.010), and reduced intraoperative blood loss (208.94\u2009\u00b1\u200967.55 vs. 288.56\u2009\u00b1\u200990.34\u2005mL,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.023). No significant differences were found in hospital stay, fracture healing time, or 1-year clinical\/radiographic outcomes (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For irreducible trochanteric fractures with bisected lesser trochanters, the lateral decubitus position serves as an optimized surgical workflow and is associated with perioperative efficiency benefits over the supine traction table position, including significantly shortened operative time, reduced fluoroscopy use, and decreased blood loss.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmedt.2026.1853499","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T05:47:51Z","timestamp":1781848071000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical efficacy of the lateral decubitus position in the treatment of irreducible trochanteric fractures with bisection of the lesser trochanter"],"prefix":"10.3389","volume":"8","author":[{"given":"Xiang","family":"Yu","sequence":"first","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong-Kui","family":"Hu","sequence":"additional","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Zhi","family":"Li","sequence":"additional","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Kai","family":"Li","sequence":"additional","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fan-Cheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xu","family":"Li","sequence":"additional","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai-Jian","family":"Lu","sequence":"additional","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bao-Qing","family":"Yu","sequence":"additional","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rong-Guang","family":"Ao","sequence":"additional","affiliation":[{"name":"Orthopedics Department, The Seventh People\u2019s Hospital Affiliated to Shanghai University of TCM","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e39676","DOI":"10.1097\/md.0000000000039676","article-title":"Different surgical interventions for unstable intertrochanteric fracture of the femur: network meta-analysis","volume":"103","author":"Zhou","year":"2024","journal-title":"Med (Baltim)"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e75014","DOI":"10.7759\/cureus.75014","article-title":"Irreducible intertrochanteric fractures: analysis of various fracture patterns and reduction techniques","volume":"16","author":"Gupta","year":"2024","journal-title":"Cureus"},{"key":"B3","doi-asserted-by":"publisher","first-page":"21514593231153827","DOI":"10.1177\/21514593231153827","article-title":"Two-part intertrochanteric femur fractures with bisection of the lesser trochanter: an irreducible fracture pattern","volume":"14","author":"Hu","year":"2023","journal-title":"Geriatr Orthop Surg Rehabil"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1852","DOI":"10.1111\/os.70055","article-title":"Research on classification criteria for the reducibility and irreducibility of intertrochanteric femoral fractures","volume":"17","author":"Zhu","year":"2025","journal-title":"Orthop Surg. 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