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Intertrochanteric fracture

Case contributed by Subash Thapa
Diagnosis certain

Presentation

33 years male with pain over left hip with limited range of movement following a road traffic accident.

Patient Data

Age: 33 years
Gender: Male
ct

Comminuted intertrochanteric fracture involving the left proximal femur with internal rotation the femur

Case Discussion

Intertrochanteric fractures are a common injury of the proximal femur, and are classed as an extracapsular femoral neck fracture. The Boyd and Griffin scale was the first system to attempt to classify these fractures but since simpler Evans and AO classifications have also been proposed.

In those between 11-60 years men sustain these injuries more commonly then women while above 60 years these occur twice as commonly in women where osteoporosis is a significant consideration.

While the dynamic hip screw was the traditional mainstay of surgical management for these fractures more recently intramedullary fixationa nails and compression plate devices have been developed for treatment. The exact prosthesis choice varies depending on the patient.

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