Unusual mode of failure of intertrochanteric femur fracture fixation

Intertrochanteric Femur Fracture Stability

INTRODUCTION Intertrochanteric (IT) femur fractures are common in elderly patients who are often in poor general health. Intertrochanteric fractures are classified as stable or unstable, taking into account fracture morphology and involvement of the posteromedial calcar. The purpose of this study is to determine whether IT fracture stability can be used as a marker for general health or as a pr...

Comparison of Intertrochanteric Fracture Fixation with Dynamic Hip Screw and Bipolar Hemiarthroplasty Techniques

Background: At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with dynamic hip screws (DHS) and bipolar hemiarthroplasty in elderly patients with background medical conditions. Methods: In this randomi...

Late-diagnosed bilateral intertrochanteric femur fracture during an epileptic seizure.

Although spontaneous and simultaneous bilateral hip fractures without trauma are seen rarely, epileptic seizures may lead to these fractures. We present an 82-year-old female patient with poor bone quality and a 20-year history of epilepsy. She had been using anticonvulsant drugs for almost 20 years. Following a convulsive epileptic attack, bilateral intertrochanteric femur fractures occurred (...

Medial Migration of Intramedullary Intertrochanteric Fracture Fixation Devices

CT evaluation of torsional malalignment after intertrochanteric fracture fixation.

INTRODUCTION Trochanteric fractures are commonly stabilized either by intramedullary nailing or plate and screw fixation after reduction on the orthopaedic surgical table under radiological guidance. HYPOTHESIS Closed trochanteric fracture anatomic reduction is difficult in the transversal plane. OBJECTIVES The objective of this prospective study was to assess the rotational malalignment in...