What is a intertrochanteric fracture?
Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. The intertrochanteric aspect of the femur is located between the greater and lesser trochanters and is composed of dense trabecular bone.
How do you treat an intertrochanteric fracture?
Intertrochanteric fractures are treated surgically with either a sliding compression hip screw and side plate or an intramedullary nail. The compression hip screw is fixed to the outer side of the bone with bone screws. A large secondary screw (lag screw) is placed through the plate into the femoral head and neck.
What causes intertrochanteric fracture?
Causes. The most common causes of intertrochanteric fractures are falls or trauma. These problems are more likely to occur among older people, who are at a higher risk of falling. In some cases, people who have weak bones can get a fracture from simply walking or standing.
How is intertrochanteric fracture diagnosed?
An X-ray or other imaging test is the best way to diagnose an intertrochanteric fracture. If the fracture is small, an MRI may show more detail than a typical X-ray.
Where is the intertrochanteric?
The intertrochanteric line (or spiral line of the femur ) is a line located on the anterior side of the proximal end of the femur.
Which is most common complication of trochanteric fracture?
Mechanical Failure of Internal Fixation. Mechanical complications of internal fixation of trochanteric fractures, particularly varus angulation, are the most frequent and troublesome complications of operative treatment.
Can intertrochanteric fracture heal without surgery?
Depending on health and injury pattern this bone can take 3-4 months to heal without surgery. Physical therapy for hip and knee range of motion is started around 6 weeks once bone has healed enough to prevent displacement with motion.
What part of the femur is the intertrochanteric?
The intertrochanteric area of the femur is distal to the femoral neck and proximal to the femoral shaft; it is the area of the femoral trochanters, the lesser and the greater trochanters (see the image below).
Where is the intertrochanteric region?
What part of the hip is the intertrochanteric?
What is the most significant complication after hip fracture?
Delirium was the most frequently observed complication. Not living independently, higher age and delay of surgery of more than 1 day were all statistically significant risk factors for getting delirium (Table 4).
How long does it take for a intertrochanteric fracture to heal?
All the intertrochanteric fractures healed on average 70.5 days (range 31-213 days) after operation. The fractures resulting from vehicular trauma or fall from a height healed significantly more slowly (p = 0.02, univariant log-rank test).
Can a 90 year old recover from a broken hip?
The length of recovery from hip fractures among older patients can increase with age. In general, the older individuals are and the greater number of conditions they have, the longer it can take to recover. The recovery time for a hip replacement ranges from four weeks to up to six months.