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Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 5/2010

01-05-2010 | In Brief

In Brief: Fractures in Brief: Intertrochanteric Hip Fractures

Authors: Jaimo Ahn, MD, Joseph Bernstein, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 5/2010

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Excerpt

Intertrochanteric (IT) femur fractures comprise approximately ½ of all hip fractures caused by a low-energy mechanism such as a fall from standing height. These fragility hip fractures occur in a characteristic population with risk factors including increasing age, female gender, osteoporosis, a history of falls, and gait abnormalities [3]. Surgery is almost always the recommended treatment as the morbidity and mortality associated with nonoperative treatment historically have been high. Patients often have preexisting comorbidities that dictate the ultimate outcome. …
Literature
1.
Ahrengart L, Tornkvist H, Fornander P, Thorngren KG, Pasanen L, Wahlstrom P, Honkonen S, Lindgren U. A randomized study of the compression hip screw and Gamma nail in 426 fractures. Clin Orthop Relat Res. 2002;401:209–222.CrossRefPubMed
2.
Bhandari M, Schemitsch E, Jönsson A, Zlowodzki M, Haidukewych GJ. Gamma nails revisited: gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip: a meta-analysis. J Orthop Trauma. 2009;23:460–464.CrossRefPubMed
3.
Grisso JA, Kelsey JL, Strom BL, Chiu GY, Maislin G, O’Brien LA, Hoffman S, Kaplan F. Risk factors for falls as a cause of hip fracture in women. The Northeast Hip Fracture Study Group. N Engl J Med. 1991;324:1326–1331.CrossRefPubMed
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Lindskog DM, Baumgaertner MR. Unstable intertrochanteric hip fractures in the elderly. J Am Acad Orthop Surg. 2004;12:179–190.PubMed
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Moran CG, Wenn RT, Sikand M, Taylor AM. Early mortality after hip fracture: is delay before surgery important? J Bone Joint Surg Am. 2005;87:483–489.CrossRefPubMed
Metadata
Title
In Brief: Fractures in Brief: Intertrochanteric Hip Fractures
Authors
Jaimo Ahn, MD
Joseph Bernstein, MD
Publication date
01-05-2010
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 5/2010
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-010-1263-2

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