Introduction. Intertrochanteric fractures are located in the proximal upper part of the femur, extracapsulary and extend up to 5 cm under the minor trochanter (3). Intramedullary fixation is used almost exclusively for this kind of fractures in our department for many years. The most common mechanical complication of intramedullary fixation is the cut out of the sliding screw trough the femoral...

This study evaluates the results of intertrochanteric fractures of the femur treated by external fixation. One hundred and four intertrochanteric fractures of the femur were stabilized by external fixation over an 8 year period. Complete fracture healing was detected in all patients within 11.2 weeks. Varus malunions and more than 2 cm limb shortening were evaluated in 8 patients. Eight patient...

The purpose of this study was to compare the outcomes focusing on the functional outcome and clinical results of replacement arthroplasty (AP) vs. internal fixation (IF) for the treatment of unstable intertrochanteric femoral fracture in elderly. Systematic review and meta-analysis were performed on 10 available clinical studies (2 randomized controlled trials and 8 comparative studies). Subgro...

The treatment goal of intertrochanteric fractures is to maintain the patient’s quality of life. Recent studies have shown that intertrochanteric fractures can result in significant morbidity and mortality. Deficits in activities of daily living due to hip fractures resulted in considerable morbidity, mortality, and costs. The United States Center for Disease Control: National Center for Injury ...

Objective: The main objective of the study was to compare proximal femoral nail and Twin interlocking cephalomedullary in terms short-term functional radiological outcome. Methods: 30 patients with unstable intertrochanteric femur fractures operated by a single surgeon were included study. 15 PFN group group. Modified Harris Hip score used assess Results: time union outcome comparable both grou...

With today’s aging population, musculoskeletal diseases such as osteoporosis, degenerative arthritis, and degenerative spine disease, are on the rise, and these conditions are associated with increased fracture risk. Intertrochanteric fractures in elderly patients often involve severe displacement or comminution with poor bone quality. Accordingly, various treatment methods for hip fracture hav...

The Tip Apex Distance (TAD) is a simple measurement that predicts screw cut-out in the femoral head from trochanteric fractures treated with a fixed angle sliding hip screw device [1]. It uses a numerical value to show placement of the screw in the head: higher values indicating higher likelihood of fixation failure by extrusion of the screw. Currently the cost of hip fracture care in the UK is...

This case report involves a 56-year-old female (Mrs X) with a traumatic intertrochanteric hip fracture with subtrochanteric extension below a previous Birmingham hip resurfacing. Periprosthetic fractures following hip resurfacing are usually subcapital and treated with a revision or conservative management. We present an unusual surgical problem with an interesting solution stabilising the frac...

BACKGROUND Dynamic hip screw (DHS) is a common device for treating intertrochanteric fracture (ITF). Various risk factors have been reported to be associated with the operative treatment outcome. However, an integrated risk scoring prediction model is lacking. In this study, we aimed to develop a prediction model for treatment outcome of intertrochanteric fracture. METHODS We analyzed 442 AO/...

BACKGROUND Intertrochanteric fractures of the femur are the most common type of fracture, and are an increasing occurrence due to the aging of the population. The objectives of our study are to predict the fate of intertrochanteric fractures treated with intramedullary hip nails by assessing the postoperative fracture stability utilizing the newly developed scoring system, and to help rehabilit...