IT Fractures (Subscribe)  

Deep hip infection is a rare complication of intertrochanteric fractures and an optimal treatment has not yet been reported. Twenty-seven patients who contracted deep hip sepsis following the failed primary treatment of an intertrochanteric fracture were treated with two-stage hip arthroplasty. Antibiotic-impregnated cement beads were implanted following resection arthroplasty in...

In orthopedic traumatology, a unilateral intertrochanteric fracture is probably one of the commonest fractures in the elderly. The incidence of bilateral pathological intertrochanteric fracture is also not uncommon. In this case report, we are presenting a case of bilateral simultaneous traumatic displaced intertrochanteric fractures in a young patient. The patient...

Commentary & Perspective on "Hip Arthroplasty for Salvage of Failed Treatment of Intertrochanteric Hip Fractures" by George J. Haidukewych, MD, and Daniel J. Berry, MD by John J. Callaghan, MD*, Department of Orthopaedic Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA In summary, this article is helpful to the surgeon performing hip arthroplasty in...

Video report of technique for doing internal fixation of an Intertrochanteric fracture of the hip through a minimal incision (5 cms)

Abstract Aims: To examine the roles of fracture stability, anatomical reduction and screw position on cut through failure of Dynamic Hip Screw (DHS) implants. Methods: This is a retrospective study of consecutive patients treated with a DHS implant following intertrochanteric fractures of the proximal femur. Fracture stability was assessed from fracture...

Medscape 2000 Report from the Vail Orthopaedics Symposium features
1. Indirect Reduction of the Femur
2. Retrograde and antegrade nailing
3. Supracondylar Femur Fractures
4. Current Treatment of Femoral Neck Fractures
5. Current Technique: Use of Hemiarthroplasty in Femoral Neck Fractures
6. Classification and Treatment of Intertrochanteric Fractures

Radiology Teaching site.
Hip fractures are associated with a substantial mortality, as many as 15-20% dying within one year of the fracture
· Conditions that predispose to hip fractures include aging, osteoporosis and osteomalacia
o Most hip fractures in...

Full text J Bone Joint Surg Am. 2003 May;85-A(5):899-904

Hip fractures can be divided into two groups: intra-capsular femoral neck fractures (further localized as subcapital, transcervical or basicervical) and extra-capsular peri-trochanteric fractures, namely the intertrochanteric and subtrochanteric fractures.
Unlike a femoral neck fracture, the intertrochanteric region has good blood supply to cancellous bone, and thus has good healing potential. Unlike...

Radiology of intertrochanteric (IT) fractures. Also sometimes called pertrochanteric

Anatomical Considerations:
- osseous anatomy of proximal femur dictates where internal fixation device should be placed for maximum purchase in femoral head;
- maximum bone density is found in the area where compression & tension trabeculae coalesce in the center of the head;
...

Wheeless' Textbook of Orthopaedics Extensive menu on this topic includes -
Classification, Radiography, Work-up, Treatment

Intertrochanteric Hip Fractures: OTA Basic Fracture Course Expert

Author: Richard S Goodman, MD. 2006
An intertrochanteric hip fracture occurs between the greater trochanter, where the gluteus medius and minimus muscles (hip extensors and abductors) attach, and the lesser trochanter, where the iliopsoas muscle (hip flexor) attaches (Netter, 1987).
Updated Nov 2009

Since cut-out still remains one of the major clinical challenges in the field of osteoporotic proximal femur fractures, remarkable developments have been made in improving treatment concepts. However, the mechanics of these complications have not been investigated yet. We hypothesize using the experimental data and a theoretical model that a...