The Orthobullets Podcast Foundations⎪Trauma⎪Intertrochanteric Fractures
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Mar 29, 2025 Dive into the complexities of intertrochanteric fractures, particularly prevalent among the elderly after falls. Discover effective diagnostic methods and treatment options, both non-operative and operative. Learn about the importance of assessing pre-injury functionality for better patient outcomes, alongside insights on implant selection. Real-life clinical scenarios are used to illustrate key concepts and enhance understanding, making this a must-listen for healthcare providers.
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Key Fracture Basics
- Intertrochanteric fractures are common proximal femur fractures in the elderly after low energy falls.
- Diagnosis relies on orthogonal hip radiographs; MRI helps detect occult fractures.
Treatment Approaches
- Non-operative treatment suits non-ambulatory or high-risk patients with incomplete fractures.
- Operative fixation depends on fracture stability; choose sliding hip screw or cephalomedullary nail accordingly.
Implant Selection Guidance
- Stable fractures have similar outcomes with sliding hip screws or intramedullary nails.
- Unstable fractures benefit from intramedullary implants and quality of reduction is crucial for success.