Kerala Journal of Orthopaedics 2012;25:6-13 Introduction Surgical stabil isation of the intertrochanteric fracture is the optimal treatment today, except in patients with medical problems in whom surgery is contraindicated (1). The goal of surgery is to provide fracture stability to allow early mobilisation and some weightbearing. The introduction of the Dynamic Hip Screw was a quantum leap in ...

INTRODUCTION Intertrochanteric fractures of the femur are common fractures in the elderly, and management includes operative fixation after patient positioning on the fracture table. Patients with bilateral above-knee amputations are challenging in terms of positioning on the table. We describe a simple technique to overcome this special problem. CASE PRESENTATION A 75-year-old wheelchair-bou...

Hip dislocation occurs when the femur does not break and the force is transmitted towards the hip joint leading to a posterior dislocation of the femoral head with or without posterior acetabular fracture. We present the case of a 26 year old patient involved in motor vehicle accident. Clinical and imaging (radiography, CT) examination revealed an intertrochanteric fracture associated with ipsi...

OBJECTIVE We analyzed the comparative efficacy and long-term prognosis with proximal femoral nail anti-rotation (PFNA) and dynamic hip screw (DHS) for the treatment of unstable intertrochanteric fractures, retrospectively. We determined the independent risk factors to guide subsequent surgery and improve the long-term quality of life. PATIENTS AND METHODS We selected 165 patients suffering fr...

Intertrochanteric fractures are injuries that affect both the elderly and young individuals. In young individuals injury results from high energy trauma and in elderly individuals usually fractures are 1 of osteoporotic bone ,resulting from trivial trauma. Intertrochanteric fractures are more common in elderly females. Elderly people with low bone mineral density are prone for 2 unstable fractu...

INTRODUCTION Long-term bisphosphonate therapy for osteoporosis is associated with an increased risk of low-to-no energy atypical subtrochanteric and femoral shaft fractures with characteristic radiologic findings. There are few reports of patients with long-term bisphosphonate-induced periprosthetic fractures, all of them had a hip arthroplasty prosthesis. In this report, we present a unique ca...

The positioning of the patient on the fracture table is critical for the successful reduction and operative fixation of intertrochanteric hip fractures. However, this manipulation is challenging with patients who have undergone amputations of their legs. A 97-year-old man presented to the emergency department with symptom of right hip pain following a mechanical fall. He had a below-knee amputa...

hip dislocation occurs when the femur does not break and the force is transmitted towards the hip joint leading to a posterior dislocation of the femoral head with or without posterior acetabular fracture. we present the case of a 26 year old patient involved in motor vehicle accident. clinical and imaging (radiography, ct) examination revealed an intertrochanteric fracture associated with ipsi...

BACKGROUND Over 320,000 hip fractures occur in North America each year and they are associated with a mortality rate ranging from 14% to 36% within 1 year of surgery. We assessed whether mortality and reoperation rates have improved in hip fracture patients over the past 31 years. METHODS 3 electronic databases were searched for randomized controlled trials on hip fracture management, publish...