Background: At present, there is no consensus on an appropriate treatment modality for intertrochanteric fractures in the elderly with background diseases. The aim of the present study was to compare treatment outcomes of intertrochanteric fractures reduced with dynamic hip screws (DHS) and bipolar hemiarthroplasty in elderly patients with background medical conditions. Methods: In this randomi...

INTRODUCTION Posterior dislocation of the hip joint with associated acetabular and intertrochanteric fracture is a complex injury. Early recognition, prompt and stable reduction is needed of successful outcome. CASE REPORT 45 year old male patient presented with posterior dislocation of the hip with transverse fracture with posterior wall fracture of acetabulam and intertrochanteric fracture ...

A radiological review of two groups of intertrochanteric osteotomies of the femur for primary osteoarthritis of the hip has been made. Each group oroginally consisted of forty-one hips. In one group a Wainwright straight V-spline without compression had been used for fixation, and in the other group an AO angled plate with compression. The time for bony union was equal in the two groups but the...

Curved intertrochanteric varus osteotomy (CVO) is one of the good surgical procedures for avascular necrosis of the femoral head (ANFH) patients. However, some patients with failed CVO are converted to total hip arthroplasty (THA) as a salvage operation. We compared the clinical and radiographic outcomes of 10 hips converted to THA after failed CVO (Group O) (mean age 43.0 years, 8 male and 2 f...

background: intertrochanteric fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. dynamic hip screw (dhs) is still considered the gold standard for treating intertrochanteric fractures by many. not many studies compare the dhs with proximal femoral nail (pfn), in type ii intertrochanteric ...

INTERTROCHANTERIC FRACTURES Approximately 50% of intertrochanteric fractures are stable and have minimal or no posteromedial comminution. The remaining 50% are unstable and have posteromedial instability and little resistance to varus deformity.1,4,5 Older rigid devices led to cutout or penetration of the nail as the fracture impacted. In the late 1960s, sliding devices were developed to allow ...