Abstract
Bone fracture often occurs in trauma patients. Bone fractures can be open or closed. Although closed, fractures should...
Highlights
Bone fracture often occurs in trauma patients
It may occur due to compensatory mechanisms of pain or from changes in leg length, weakness of the hip abductor muscles, joint instability and the presence of bone fractures
An intertrochanter fracture occurs between the major trochanters where the gluteus medius and minimus muscles are attached with the minor trochanter to which the ilipsoas is attached
Summary
Inter trochanter fractures of the femur account for 1⁄2 of hip fractures caused by low energy mechanisms such as falling from a standing position. This fracture often occurs in people who have risk factors, including: getting older, women, there is osteoporosis, a history of falls, and abnormalities in walking. ORIF (Open reduction and internal fixation) is indicated in all inter trochanter fractures, except in patients with medical conditions in which anesthesia, both general and spinal, is contraindicated. External fixation is rarely indicated but is very useful as a short procedure in patients who cannot undergo general or spinal anesthesia and can only tolerate local techniques. Medial displacement osteotomy and valgus reduction are no longer performed, because of the resulting severe deformity and improved understanding of fracture fixation
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
