Aim: Comparison of proximal femoral nail versus dynamic condylar screw in treating reverse oblique intertrochanteric fractures. Study Design: Retrospective study Place and duration study: CMH Kharian, Allama Iqbal International Hospital Kharian Madni Gujrat from 1st January 2020 to 31st December 2022. Methodology: Sixty five patients who had suffered fractures were either treated through or by ...

Nonunion of intertrochanteric fractures is uncommon but its effects are disabling. We describe a modification of the medial displacement and valgus osteotomy of Dimon and Hughston (1967) which we used in seven fractures, six of which united within 16 weeks. Postoperatively, hip function was good. The method provides good initial stability, a source of cancellous bone graft, good postoperative h...

at neck region called as Trans cervical neck fracture. Third bone shows fracture that happens at intertrochanteric line of femur bone known as Intertrochanteric fracture. The fourth bone shows the fracture that happens at sub trochanteric region named as subtrochanteric fracture, Fracture that happens at greater trochanter region shown in fifth bone is known as fracture at greater trochanter, i...

We report a prospective study of 198 cases of subcapital fracture of the femur treated by closed reduction and fixation with a sliding compression screw-plate. This was done without regard to the patient's age or the Garden stage of the fracture. Early weight-bearing was encouraged. Of the displaced fractures 23% failed in the first year because of non-union or infection. Of the fractures which...

OBJECT To compare the Sliding with Non-sliding lag screw of a gamma nail in the treatment of A1 and A2 AO-OTA intertrochanteric fractures. MATERIALS AND METHODS 80 patients were prospectively collected. In each group, AO/OTA 31-A were classified into group A. AO/OTA 31-A2.1 was classified as group B. We classified the A2.2 and A2.3 as group C. According to the set-screw locking formation of G...

Hip fractures, especially intertrochanteric are more common with aging. After decades of progress, it is a general consensus to carry out internal fixation for this group patients. However, the recent focus on unstable fractures ensure better prognosis and prevent failure. The lateral femoral wall, as novel concept, often disregarded. Many scholars have recognized that wall proximal plays cruci...

Introduction Unstable intertrochanteric hip fractures can be difficult surgical challenges. Screw and side plate devices reliably stabilize stable fracture patterns [1,2], but unstable fractures require a mechanically optimized device and better implant purchase in the femoral head. These fractures have been more prone to implant failure with standard devices [3, 4]. The trochanteric femoral na...

OBJECTIVE The aim of this study was to evaluate whether intertrochanteric femur fractures can be reduced and nailed properly in the lateral decubitus position using Proximal Femoral Nail Antirotation (PFNA) as a fixation device without the use of a traction table. METHODS The study included 207 patients (81 male and 126 female; mean age: 75 years, range: 22 to 95 years). According to the Evan...

Objective Analyze the outcomes of proximal femoral locking compression plate (PF-LCP) in these complex fractures. Methods This study retrospectively analyzed 21 proximal femoral fractures treated with PF-LCP from June 2013 to February 2015. There were 15 females (71%) and six males (29%) with an average age of 61.4 years (range: 34-80 years). The peritrochanteric fractures constituted by inte...

Treatment of intertrochanteric hip fracture is based on patient medical condition, preexisting degenerative arthritis, bone quality, and the biomechanics of the fracture configuration. A critical review of the evidence-based literature demonstrates a preference for surgical fixation in patients who are medically stable. Stable fractures can be successfully treated with plate-and-screw implants ...