Choice of surgical approach in patients under clopidogrel treatment is controversial. Intertrochanteric fractures are common in the elderly, who also suffer from a number of comorbidities.The aim of this study is to assess the prognosis of elderly patients with clopidogrel treatment after surgery for intertrochanteric fracture.This was a cohort study of 238 elderly patients who underwent proxim...

BACKGROUND Hidden blood loss is a major concern for patients undergoing hip surgery for intertrochanteric fracture. The objective of this study was to investigate whether tranexamic acid (TXA) could reduce postoperative hidden blood loss in patients undergoing hip surgery for intertrochanteric fracture. METHODS A total of 77 patients with intertrochanteric fracture were enrolled in this rando...

INTRODUCTION Unstable intertrochanteric fractures are difficult to manage and the choice of implant is critical for fracture fixation. The purpose of this study was to evaluate the functional and radiological outcome of proximal femoral nail antirotationII (PFNA II) in the treatment of unstable intertrochanteric fractures. MATERIALS AND METHODS We reviewed 45 patients of unstable intertrochan...

Numerous internal fixation devices have been used to stabilize intertrochanteric fracturesWe have analyzed the results of the intertrochanteric fractures treated with dynamic hip screw fixation. 33 patients (13 males, 20 females) were included. Range of age was 50-90 years, right side involved in 21 cases whereas left side in 12 cases and classified according to Boyd and griffin classification ...

Kerala Journal of Orthopaedics 2012;25:6-13 Introduction Surgical stabil isation of the intertrochanteric fracture is the optimal treatment today, except in patients with medical problems in whom surgery is contraindicated (1). The goal of surgery is to provide fracture stability to allow early mobilisation and some weightbearing. The introduction of the Dynamic Hip Screw was a quantum leap in ...

We herein report a rare case of an intertrochanteric fracture complicated with an ankylosed hip joint in a 76-year-old man. Generally, operative treatment is performed for elderly people with intertrochanteric fractures to prevent general complications, maintain mobility, and release pain. However, intertrochanteric fractures of ankylosed hip joints are rare, and the optimal surgery for this co...

INTRODUCTION Intertrochanteric fractures of the femur are common fractures in the elderly, and management includes operative fixation after patient positioning on the fracture table. Patients with bilateral above-knee amputations are challenging in terms of positioning on the table. We describe a simple technique to overcome this special problem. CASE PRESENTATION A 75-year-old wheelchair-bou...

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...

This study examined the effect of weather and seasonality on hipfracture incidence in older adults residing in New York City. A total off 66,346 patients aged > or = 65 years who sustained a fracture of the femoralneck or intertrochanteric region from 1985 to 1996 comprised the study population. Hip fractures were more likely to occur in the winter than in any of the other seasons (P<.001). Fac...