Proximal femoral cephalomedullary nailing is one of the treatments of choice for intertrochanteric fracture. Zimmer Natural Nail® (ZNN; Zimmer) is one of the alternatives. We report two cases of broken tail portion of the ZNN lag screw during the removal procedure. This may be the first reported cases in scientific literature with this pattern of failure. We report these cases to highlight one ...

Introduction: The management of unstable intertrochanteric fracture in elderly patients poses the challenges of difficult anatomical reduction as well as the need for prolonged immobilization and delayed weight bearing to prevent implant failure secondary to poor bone quality. Because of prolonged immobilization, complications such as deep vein thrombosis, hypostatic pneumonia, pressure sores, ...

  Background: Intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. Dynamic Hip Screw (DHS) is still considered the gold standard for treating intertrochanteric fractures by many. Not many studies compare the DHS with Proximal femoral nail (PFN), in Type II intertrochanteri...

background: intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. dynamic hip screw (dhs) is still considered the gold standard for treating intertrochanteric fractures by many. not many studies compare the dhs with proximal femoral nail (pfn), in type ii intertrochanteric ...

The mortality of conservative treatment and the risk resulting from operation for elderly patients with femoral intertrochanteric fractures are high. Safety in the perioperative period and quicker recovery should be placed at the top priority for elderly patients with hip fractures. We reported a case of 109-year-old female patient with intertrochanteric fracture who has undergone the hemiarthr...

Intertrochanteric hip fractures are among the most common types of fractures, and the numbers are increasing as the population ages. Most intertrochanteric fractures are treated surgically. It is therefore important that the treatment methods are effective and have a minimal risk of complications. The goals of treatment include a predictable union, unrestricted early weight bearing, and avoidan...

BACKGROUND Hip fracture is a common, morbid, and costly event among older adults. Data are inconclusive as to whether epidural or spinal (regional) anesthesia improves outcomes after hip fracture surgery. METHODS The authors examined a retrospective cohort of patients undergoing surgery for hip fracture in 126 hospitals in New York in 2007 and 2008. They tested the association of a record ind...

Treatment of intertrochanteric hip fracture is based on patient medical condition, preexisting degenerative arthritis, bone quality, and the biomechanics of the fracture configuration. A critical review of the evidence-based literature demonstrates a preference for surgical fixation in patients who are medically stable. Stable fractures can be successfully treated with plate-and-screw implants ...

OBJECTIVE To investigate the biomechanical properties of the percutaneous compression plating system for intertrochanteric hip fractures. DESIGN A biomechanical laboratory investigation on human cadaveric upper femora was conducted. SETTING Biomechanical laboratory. PATIENTS Sixteen femora from cadavers of patients aged 60 to 85 years. INTERVENTION An intertrochanteric fracture was perf...

UNLABELLED Whether Gamma 3 fixation system is suitable for all intertrochanteric fractures is inconclusive. This paper analyzed the surgical complications of Gamma 3 intramedullary nail in the treatment of intertrochanteric fractures. METHODS A total of 186 cases were enrolled in the study including 115 males and 71 females. The surgical operations were performed in all cases and Gamma 3 intr...