Intertrochanteric Hip Fractures Questions & Answers

Updated: Dec 15, 2021
  • Author: James F Kellam, MD, FRCSC, FACS, FRCS(Ire); Chief Editor: William L Jaffe, MD  more...
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Questions & Answers

Overview

Other than intertrochanteric fractures, what are the types of hip fracture?

What are intertrochanteric hip fractures?

Why is conservative treatment of intertrochanteric hip fractures unacceptable?

What is the role of osteoporosis or osteopenia in intertrochanteric hip fractures?

How are trochanteric hip fractures treated?

What are the treatment options for intertrochanteric fractures?

What are the possible complications of nonsurgical treatment of intertrochanteric hip fractures?

What is the role of open reduction and internal fixation (ORIF) in the treatment of intertrochanteric hip fractures treated?

Which internal fixation devices are used to treat intertrochanteric hip fractures?

What is the anatomy relative to intertrochanteric hip fractures?

What defines the stability of an intertrochanteric fracture?

What is the role of the lateral trochanteric wall in intertrochanteric hip fractures?

When are cephalomedullary nails indicated in the treatment of intertrochanteric hip fractures?

What causes intertrochanteric hip fractures?

What causes low-energy intertrochanteric fractures?

What causes bone fragility in intertrochanteric hip fractures?

How do intertrochanteric hip fractures occur?

What is the incidence of intertrochanteric hip fractures in the US?

Which age groups are at highest risk for intertrochanteric hip fractures?

What is the prognosis of intertrochanteric hip fracture?

What is the efficacy of the Gotfried percutaneous compression plate in the treatment of intertrochanteric hip fractures?

What is the prognosis of unstable intertrochanteric hip fractures?

What is the efficacy of intramedullary nail fixation in the treatment of intertrochanteric hip fractures?

What is the efficacy of total hip replacement to treat intertrochanteric hip fractures?

What are the benefits of the dynamic hip system in the treatment of intertrochanteric hip fractures?

What is the efficacy of minimally invasive surgery for the treatment of intertrochanteric hip fractures?

Presentation

What are common coexisting or preexisting conditions in patients with intertrochanteric hip fractures?

Which physical findings are characteristic of high-energy intertrochanteric hip fractures?

What is the treatment option used for intertrochanteric hip fractures with comorbidities or other injuries?

What are the possible medical complications of intertrochanteric hip fractures?

Workup

How are coexisting medical conditions identified during the assessment of intertrochanteric hip fractures?

What is the role of radiographs in the workup of intertrochanteric hip fractures?

What is the role of CT scanning in the workup of intertrochanteric hip fractures?

What is the role of a traction AP radiograph in the workup of intertrochanteric hip fractures?

Treatment

When is open reduction and internal fixation (ORIF) indicated for treatment of intertrochanteric hip fractures?

What is the role of total hip arthroplasty in the treatment of intertrochanteric hip fractures?

What are the contraindications to surgery for intertrochanteric hip fractures?

What is the focus of intertrochanteric hip fracture repair?

What is the final goal intertrochanteric hip fracture treatment?

What is the approach to treatment of intertrochanteric hip fractures?

What is stage 1 intertrochanteric hip fracture management?

What are history and physical findings characteristic of a high-energy intertrochanteric hip fracture?

How is the diagnosis of an intertrochanteric hip fracture confirmed?

What is stage 2 intertrochanteric hip fracture management?

What care is included in stage 2 of the management of intertrochanteric hip fractures?

How quickly should stabilization be carried out in the treatment of intertrochanteric hip fractures?

What is stage 3 intertrochanteric hip fracture management?

What is stage 4 intertrochanteric hip fracture management?

When is surgery performed for the treatment of intertrochanteric hip fractures?

What is included in the American Academy of Orthopaedic Surgeons (AAOS) treatment guidelines for hip fractures in elderly patients?

What is included in preoperative care of patients with intertrochanteric hip fractures?

How is a closed reduction of the fracture performed in patients with intertrochanteric hip fractures?

When is an open reduction indicated in the treatment of intertrochanteric hip fractures treated?

What is the role of a compression hip screw device in the treatment of intertrochanteric hip fractures?

How is the proximal femur exposed in the surgical treatment of intertrochanteric hip fractures?

How is a compression hip screw device inserted in the treatment of intertrochanteric hip fractures?

What is the role of percutaneous hip screw and plate insertion in surgery for intertrochanteric hip fractures?

What is the role of the cephalomedullary nailing technique in the treatment of intertrochanteric hip fractures?

What is the role of antegrade nails in surgery for intertrochanteric hip fractures?

What are the benefits of cephalomedullary fixation in the treatment of intertrochanteric hip fractures?

What is the role of medial displacement osteotomy in the treatment of intertrochanteric hip fractures?

What is the role of hip arthroplasty in the treatment of intertrochanteric hip fractures?

What is included in postoperative care of patients with intertrochanteric hip fractures?

What is the role of anticoagulants in the postoperative care of intertrochanteric hip fractures?

What is the role of physical therapy in the management of intertrochanteric hip fractures?

How are surgical complications of intertrochanteric hip fractures prevented?

What causes systemic complications following surgery for intertrochanteric hip fractures?

How do local orthopedic complications occur following surgery for intertrochanteric hip fractures?

Guidelines

What are the American Academy of Orthopaedic Surgeons (AAOS) treatment guidelines for intertrochanteric hip fractures in elderly patients?