Introduction Intertrochanteric (IT) fractures are most common fractures seen in elderly osteoporotic, usually due to simple fall in the house. With increasing number of elderly patients its number is estimated to be double by 2040 [1]. Understanding important factors in management of IT fracture like stability, reduction, role of posteriomedial wall, lateral wall, will help in choosing implant ...

OBJECTIVES This study aims to compare the results of the proximal femoral locking plate (PFLP) and the 95°-angled blade plate in the treatment of AO/OTA 31-A3 reverse intertrochanteric fractures with fracture line extending to the greater trochanter. PATIENTS AND METHODS Forty-four patients with reverse intertrochanteric fracture which fracture line extending to the greater trochanter were re...

OBJECTIVE The treatment methods for the failed internal fixation in elderly patients suffering from several osteoporostic fractures are still inconclusive. We aimed to evaluate the clinical effects of endoprosthetic replacement for failure treatment of intertrochanteric fracture. METHODOLOGY A total of 13 patients with failed internal fixation for intertrochanteric fracture were collected bet...

patients and methods sixty elderly patients with intertrochanteric fractures were randomized for treatment with either skeletal traction (group a) or an external fixation (group b). in this study patients at least 60 years of age, with ao/ota a1 or a2 type fracture and intertrochanteric fracture as a result of minor trauma, were enrolled. results acceptable reduction was achieved in eight and 2...

Standard surgical repair of an intertrochanteric fracture, the most common hip fracture, requires accurate placement of a wire across the fracture using static fluoroscopic images. Wire navigation is fundamental to a number of orthopedic procedures. Directing and advancing the wire in the correct plane relies on both visual-spatial and psychomotor dexterity skills [1]. Underdeveloped skills cau...

Dislocations of the hip usually occur following high energy trauma, the coxo-femoral joint being inherently stable, and can be associated with acetabular fractures or fractures of the head, neck or shaft of femur. However, the combination between the anterior hip dislocation and the ipsilateral intertrochanteric fracture is extremely rare, the literature offering only scarce information. We pre...

PURPOSE To compare the clinical and radiological results between internal fixation using the proximal femoral nail system and bipolar hemiarthroplasty (BHA) in reverse oblique intertrochanteric hip fractures in elderly patients. MATERIALS AND METHODS From January 2005 to July 2012, we reviewed the medical records of 53 patients who had been treated surgically for reverse oblique intertrochant...

PURPOSE We conducted a study on patients who underwent hip joint arthroplasty because of unstable femur intertrochanteric fractures with greater trochanter bony fragments. After dividing patients into three groups depending on their fracture patterns, we evaluated the clinical and radiological outcomes of different operation methods applied to each of these groups. MATERIALS AND METHODS Using...

OBJECTIVE AO/OTA 31-A3 intertrochanteric femoral fractures have completely different fracture line directions and biomechanical characteristics compared with other types of intertrochanteric fractures. The choice of the fixation method has been a focus of dispute among orthopedic trauma surgeons. The purpose of this study was to review the outcomes of these fractures treated with a percutaneous...

Simultaneous bilateral intertrochanteric fractures are very rare, and only a few cases have been reported in the literature. They usually result from severe trauma. They are serious injuries with high morbidity and mortality rates. Successful management of these patients involves adequate resuscitation, treatment of associated injuries, early single-stage stable fixation, and good rehabilitatio...