Abstract
Intertrochanteric hip fractures are extracapsular fractures of the proximal femur involving the area between the greater and lesser trochanters. The intertrochanteric area extends between the greater and lesser trochanters. It consists of dense trabecular bone. Most classification systems for intertrochanteric fractures have poor reliability and reproducibility. Prosthetic hip replacement generally has not been considered a primary treatment option and is usually reserved for revision situations. Most intertrochanteric hip fracture nonunions occur in older patients with poor proximal bone quality and fail by implant cutout from the femoral head. Subtrochanteric fractures of the femur that are caused by low energy trauma are less common than other proximal femoral fractures, but they occur in a similar population of elderly individuals. The proximal femur consists of the femoral head and neck as well as the greater trochanter and lesser trochanters. Treatment of stress and insufficiency fractures and atypical fractures are approached in a similar manner.
Original language | English (US) |
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Title of host publication | Musculoskeletal Trauma in the Elderly |
Publisher | CRC Press |
Pages | 515-535 |
Number of pages | 21 |
ISBN (Electronic) | 9781315363226 |
ISBN (Print) | 9781315381954 |
DOIs | |
State | Published - Jan 1 2016 |
Bibliographical note
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