What is a intertrochanteric femur fracture?
What is a intertrochanteric femur fracture?
Intertrochanteric fractures are breaks of the femur between the greater and the lesser trochanters. They are extracapsular fractures that is, outside the hip joint’s fibrous capsule. The epidemiology of intertrochanteric fractures is similar to that of femoral neck fractures.
What is the mechanism of a femur fracture?
Trauma is the most common mechanism of femoral shaft fractures, typically involving a direct hit to the thigh or an indirect force transmitted through the knee. Younger individuals generally are engaged in high energy mechanisms such as automobile accidents, frequently resulting in other associated injuries.
What causes a intertrochanteric fracture?
The most common causes of intertrochanteric fractures are falls or trauma. These problems are more likely to occur among older people, who are at a higher risk of falling. In some cases, people who have weak bones can get a fracture from simply walking or standing.
What is Osteoporosis Pathophysiology?
Osteoporosis is a metabolic bone disease that, on a cellular level, results from osteoclastic bone resorption not compensated by osteoblastic bone formation. This causes bones to become weak and fragile, thus increasing the risk of fractures.
How long does it take for an intertrochanteric fracture to heal?
All the intertrochanteric fractures healed on average 70.5 days (range 31-213 days) after operation. The fractures resulting from vehicular trauma or fall from a height healed significantly more slowly (p = 0.02, univariant log-rank test). There were 6 intertrochanteric fracture-related complications.
What is the best option for treatment of unstable intertrochanteric fractures?
Although the standard and ideal treatment for intertrochanteric fractures still is the internal fixation devices such as dynamic hip screw (DHS) and intramedullary nailing, common problems such as cutting out of the hip screw in unstable and osteoporotic fractures (which reported to be as high as 4-20%) have questioned …
What causes low-energy intertrochanteric fractures?
Most hip fractures occur in the femoral neck or intertrochanteric area. Most hip fractures result from low-energy falls in elderly patients who have weakened or osteoporotic bone. In these patients, even a simple twisting or tripping injury may lead to a fracture.
What are the symptoms of a femur fracture?
Thigh pain — Symptom Checker
What is the treatment for a spiral fracture of the femur?
Intramedullary nailing. Currently, the method most surgeons use for treating femoral shaft fractures is intramedullary nailing. During this procedure, a specially designed metal rod is inserted into the canal of the femur.
What are the complications of a femur fracture?
Some of the common complications include, Nonunion of the fracture can lead to deformities and affect the gait of the individual. Thromboembolism (formation of a clot in vessel) is one of the most severe complications of femur fracture and can lead to sudden death. Infection is another common complication associated with the fracture of femur.
