How do you treat an intertrochanteric fracture?
Intertrochanteric fractures are treated surgically with either a sliding compression hip screw and side plate or an intramedullary nail. The compression hip screw is fixed to the outer side of the bone with bone screws. A large secondary screw (lag screw) is placed through the plate into the femoral head and neck.
What is periprosthetic fracture?
A periprosthetic hip fracture is a broken bone that occurs around the implants of a total hip replacement. It is a serious complication that most often requires surgery.
What is right intertrochanteric fracture?
An intertrochanteric fracture is a type of hip fracture or broken hip. The hip is made up of two bones—the femur, or “thigh bone,” and the pelvis, or “socket.” The hip is an important ball-in-socket joint that allows you to move your leg when walking.
What does Subtrochanteric mean?
: situated or occurring below a trochanter.
Can intertrochanteric fracture heal without surgery?
Depending on health and injury pattern this bone can take 3-4 months to heal without surgery. Physical therapy for hip and knee range of motion is started around 6 weeks once bone has healed enough to prevent displacement with motion.
How long does it take for a fractured greater trochanter to heal?
Most trochanteric fractures are self-limiting and can be treated without surgical intervention if the displacement is less than 1 cm. However, the patient must not bear weight on the affected leg for up to a month. Many patients may take up to 3 months to return to normal physical activity.
How do they fix a periprosthetic fracture?
Essentially all periprosthetic fractures require some treatment. Stable nondisplaced fractures may only require protected weightbearing or cast/brace immobilization (and pain medication), but most unstable peri-implant fractures require surgical stabilization, implant replacement, or both to restore function.
How does a doctor diagnose a fracture?
Doctors can diagnose bone fractures with x-rays. They may also use CT scans (computed tomography) and MRI scans (magnetic resonance imaging). Broken bones heal by themselves – the aim of medical treatment is to make sure the pieces of bone are lined up correctly.
Is an intertrochanteric fracture an emergency?
Operative management of these fractures is considered urgent, not emergent. This allows the many comorbidities with which patients often present to be optimized preoperatively, to reduce morbidity and mortality.
How can subtrochanteric fracture be reduced?
Intramedullary nailing of subtrochanteric fractures is considered the gold standard of treatment and because of the deforming forces, many surgeons advocate open reduction for all displaced fractures. Closed reduction would minimise soft tissue and fracture site disturbance, and we describe a technical tip for this.
Can intertrochanteric fracture heal itself?
The most common treatment for intertrochanteric fractures is surgery. In most cases, surgery is recommended because this fracture can take a long time to heal on its own. One of the most common surgical treatments for this type of hip fracture is an open reduction and internal fixation (ORIF).
What kind of femur is a pertrochanteric fracture?
Pertrochanteric fracture. Pertrochanteric femoral fractures are a type of trochanteric fractures involving the femur. They are one of the most common fractures in old patients. They can involve both the greater and lesser trochanter and are a type of extracapsular tracture.
How long before presentation of a pertrochanteric fracture?
In the predominantly geriatric population of pertrochanteric fractures, it is not uncommon for a patient to have had suffered the injury more than 24 h prior to presentation.
What should I do if I have an intertrochanteric fracture?
Your doctor will determine the right imaging tests for your condition. The most common treatment for intertrochanteric fractures is surgery. In most cases, surgery is recommended because this fracture can take a long time to heal on its own.
What makes a subtrochanteric fracture a Zickel fracture?
Subtrochanteric fracture. The Zickel classification (modified from Fielding) of subtrochanteric fractures takes into consideration the level and obliquity of the fracture line as well as the presence or absence of comminution.
