Management of trochanteric Fractures

Treatment of trochanteric and subtrochanteric hip fractures

The closed reduction of trochanteric fractures.

Closed reduction and internal fixation of trochanteric fractures is one of the commonest procedures in orthopaedic practice. With intracapsular fractures, internal rotation is the position of choice but in the trochanteric region this may cause malunion and impair walking. Evans (1951) suggested that some comminuted trochanteric fractures were best reduced by external rotation and Horn and Wang...

Nail-plate fixation for trochanteric fractures.

Case 2-Woman aged thirty-three. Sanatorium treatment for pulmonary tuberculosis in 1944, with thoracoplasty five years later. Onset of ankylosing spondylitis in 1953, with marked rigid cervical kyphosis. The vital capacity was only 880 cubic centimetres. The deformity was so severe that atlanto-axial dislocation seemed imminent. Operation was undertaken at C.3-4 level with correction as shown (...

Proximal Femoral Nailing in Trochanteric Fractures

Trochanteric fractures, one of the commonest fractures treated by an orthopedic surgeon, typically occur in an elderly population with osteoporotic bones, mostly as a result of low velocity injury. The main stay of treatment for these fractures is fixation with screw–side plate device or intramedullary device. Recently, intra-medullary device is gaining popularity due to their distinct biomecha...

Our experience of management of sub trochanteric fractures of femur by proximal femoral nail

The sub trochanteric zone of the femur is the area extending up till 5 cm distally from the inferior border of the lesser trochanter or the junction of the proximal third and middle third of the femoral shaft. Fracture patterns presenting major displacement in this area are considered sub trochanteric fractures despite their proximal or distal extension. 1 High biomechanical stress concentratio...