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 ...

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 Hip fractures are one of the causes of disability amongst elderly patients. External fixator and skeletal traction are two modes of treatment. OBJECTIVES The aim of this study is to compare two different treatment modes for intertrochanteric fractures in elderly patients. PATIENTS AND METHODS Sixty elderly patients with intertrochanteric fractures were randomized for treatment wi...

background:  due to difficulty in obtaining anatomical reduction, management of the unstable intertrochanteric fractures in elderly osteoporotic patients is challenging. the purpose of this study is to compare the results of hip arthroplasty (total, hemi, or bipolar) with dhs in the elderly patients with unstable intertrochanteric fractures.   methods:  we prospectively studied and followed-up ...

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...

Intertrochanteric hip fractures are among the most common types of fractures, and the numbers are increasing as the population ages. Most intertrochanteric fractures are treated surgically. It is therefore important that the treatment methods are effective and have a minimal risk of complications. The goals of treatment include a predictable union, unrestricted early weight bearing, and avoidan...

Introduction Intertrochanteric (IT) fractures are most common fractures seen in elderly osteoporotic, usually due to simple fall in the house. With increasing number of elderly patients its number is estimated to be double by 2040 [1]. Understanding important factors in management of IT fracture like stability, reduction, role of posteriomedial wall, lateral wall, will help in choosing implant ...

Fracture of the residual limb in an amputee is uncommon. Intertrochanteric fractures of patients who had lower limb amputation have been studied only in several case reports; however clinical studies are lacking. We performed a retrospective clinical study to assess if these patients could return to their pre-fracture activity level after dynamic hip screw (DHS) fixation of their intertrochante...

BACKGROUND According to the existing literature, the Dynamic Hip Screw (DHS) is the preferred standard for the treatment of intertrochanteric fractures. However, some surgeons use other devices such as the Locking Compression Plate (LCP). OBJECTIVES In this study, we compared the outcome of using DHS or LCP in intertrochanteric fractures. MATERIALS AND METHODS This cross-sectional study was...

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...