Introduction: The management of unstable intertrochanteric fracture in elderly patients poses the challenges of difficult anatomical reduction as well as the need for prolonged immobilization and delayed weight bearing to prevent implant failure secondary to poor bone quality. Because of prolonged immobilization, complications such as deep vein thrombosis, hypostatic pneumonia, pressure sores, ...

Hip arthroplasty after open reduction and internal fixation of the proximal femur presents a challenge to reconstructive surgeons. Bony defects, fracture malunion, and non-union increase the risk of complications, including intraoperative fracture, unrecognized perforation, and trochanteric non-union. The authors describe a novel surgical technique using conversion hemiarthroplasty and valgus o...

BACKGROUND Hip fracture is a severe and common injury that occurs predominantly in the elderly. Blood loss in the perioperative period is associated with a greater risk of dying in anaemic patients. The aim of the study was to explore the best way to treat stable intertrochanteric fractures, taking hidden blood loss into account. METHODS This prospective, randomised blinded study included pat...

Objective: To compare the outcomes between conventional versus Minimal invasive dynamic hip screw in fixation of intertrochanteric fracture femur Materials and Methods: This is randomized control trial, conducted at Department Orthopedic Surgery, Shaheed Mohtarma Benazir Bhutto Medical University (SMBBMU), Larkana, Pakistan from November 9, 2020 to May 8, 2021. All patients who fulfilled inclus...

BACKGROUND Proximal femoral geometry may be a risk factor of osteoporotic hip fractures. However, there existed great differences among studies depending on race, sex and age of subjects. The purpose of the present study is to analyze proximal femoral geometry and bone mineral density (BMD) in the osteoporotic hip fracture patients. Furthermore, we investigated proximal femoral geometric parame...

Background: The aim of this article is to introduce a novel technique of limited dynamic hip screw (LDHS) in the treatment of intertrochanteric fractures and to evaluate its biomechanical effects. Material/Methods: Based on the principle of providing both dynamic and static pressure to stabilize the fracture, we improved the dynamic hip screw (DHS) and designed the LDHS. Six fresh cadavers were...

OBJECTIVE The purpose of this study is to assess the need to lock the Gamma 3 nail (Stryker, Mahwah New Jersey USA) distally for intertrochanteric fractures of femur 31-A1 and 31-A2 of the AO. MATERIAL AND METHODS Details were recorded on a sample of 177 patients with intertrochanteric femoral fractures treated in our hospital by a standard Gamma nail between June 2011 and January 2013. A pro...

BACKGROUND More than 320 000 hip fractures occur annually in North America. An estimated 30% of this population have cognitive impairment. We sought to determine the extent to which patients with cognitive impairment or dementia have been included in randomized controlled trials (RCTs) assessing hip fracture management. METHODS We conducted a systematic search of 3 electronic journal database...

Failure of internal fixation of intertrochanteric fracture is associated with delayed union or malunion resulting in persistent pain and diminished function. We report a rare case of implant failure of the gamma nail with intertrochanteric fracture non union treated by DCS plate screw and bone graft.