IT Fractures (Subscribe)  

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...

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...

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...

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...

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...