IT Fractures (Subscribe)  

Archived 2003. UPMC. The introduction of the intramedullary hip screw (IMHS) was hailed as a solution for the treatment of complex intertrochanteric (IT) and subtrochanteric (ST) femur fractures. In fixation with the IMHS benefits of intramedullary shaft stabilization are combined with the advantages of sliding hip screw fixation. Fixation with...

A recent article in the Journal of Bone and Joint Surgery found a “dramatic change in surgeon preference” from plate fixation to intramedullary (IM) nail fixation for the treatment of intertrochanteric fractures. What method do you use to treat intertrochanteric fractures and why?
Richard F. Kyle, MD

he purpose of this study was to evaluate the short-term functional outcome and complications of total hip arthroplasty (THA) following failed fixation of proximal hip fracture.
Conclusion: Total hip arthroplasty is an effective salvage procedure after failed osteosynthesis of hip fractures. Most patients have good pain relief and functional improvements inspite of...

Total hip arthroplasty may be indicated for certain complications of intertrochanteric fracture, such as non-union of the fracture, post-traumatic osteoarthrosis, perforation of the acetabulum by an internal fixation device, and, rarely, avascular necrosis of the femoral head. In a patient who has any of these complications, total hip replacement may...

Nonunion is an uncommon yet devastating complication following intertrochanteric hip fracture, and few reports in the literature address this problem. This study examines the results of intertrochanteric nonunion treated with the uncemented S-ROM prosthesis in 10 patients. All patients demonstrated clinically significant pain relief and return to ambulation following hemiarthroplasty...