How is a subtrochanteric fracture treated?

Surgery is usually the main treatment for subtrochanteric fractures. Surgical options include external fixation, intramedullary fixation or by using plates and screws. External fixation is a temporary fixation and used for severe open fractures.

How can subtrochanteric fracture be reduced?

Intramedullary nailing of subtrochanteric fractures is considered the gold standard of treatment and because of the deforming forces, many surgeons advocate open reduction for all displaced fractures. Closed reduction would minimise soft tissue and fracture site disturbance, and we describe a technical tip for this.

Where is a subtrochanteric fracture located?

Subtrochanteric fractures are located between the lesser trochanter and the femoral isthmus that is, in the proximal part of the femoral shaft. They are less common than femoral neck and intertrochanteric fractures, accounting for approximately 5% to 15 % of hip fractures.

What is the management for a suspected femoral shaft fracture?

Currently, the method most surgeons use for treating femoral shaft fractures is intramedullary nailing. During this procedure, a specially designed metal rod is inserted into the canal of the femur. The rod passes across the fracture to keep it in position.

How do you repair a fractured hip?

A hip fracture can be repaired with the help of metal screws, plates and rods. In some cases, artificial replacements (prostheses) of parts of the hip joint may be necessary. Treatment for hip fracture usually involves a combination of surgery, rehabilitation and medication.

What is a closed fracture?

When a fracture happens, it’s classified as either open or closed: Open fracture (also called compound fracture): The bone pokes through the skin and can be seen, or a deep wound exposes the bone through the skin. Closed fracture (also called simple fracture). The bone is broken, but the skin is intact.

What is a subtrochanteric femur fracture?

Subtrochanteric (ST) femur fractures are defined as fractures of the proximal femur that occur within 5 cm of the lesser trochanter. 1. Overall, the incidence of these fractures has been estimated to be approximately 15–20 per 100,000 individuals.

What is a intertrochanteric fracture?

Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. The intertrochanteric aspect of the femur is located between the greater and lesser trochanters and is composed of dense trabecular bone.

How do you fix an intertrochanteric fracture?

Intertrochanteric fractures are treated surgically with either a sliding compression hip screw and side plate or an intramedullary nail. The compression hip screw is fixed to the outer side of the bone with bone screws. A large secondary screw (lag screw) is placed through the plate into the femoral head and neck.

What is the first aid treatment for fracture?

Apply pressure to the wound with a sterile bandage, a clean cloth or a clean piece of clothing. Immobilize the injured area. Don’t try to realign the bone or push a bone that’s sticking out back in.

What is a trochanteric fracture?

A trochanteric fracture is a bone break affecting the upper region of the femur or thigh bone, where two bony prominences known as the greater trochanter and lesser trochanter are found. Several types of trochanteric fracture may occur, some of them concurrently.

How do intertrochanteric hip fractures occur?

The most common causes of intertrochanteric fractures are falls or trauma. These problems are more likely to occur among older people, who are at a higher risk of falling. In some cases, people who have weak bones can get a fracture from simply walking or standing. Car crashes and other accidents can also cause hip fractures.

Is fracture of the femur the same as fracture of the hip?

A femur fracture is a break, crack, or crush injury of the thigh bone. It is sometimes referred to as a “hip fracture”; or “broken hip” if the break is in the upper part of the bone near the hip-joint area. Femur fractures that are simple, short cracks in the bone usually do not require surgery.

What is the focus of intertrochanteric hip fracture repair?

The future of Hip Fracture fracture repair focuses, in part, on preventing such fractures by means of antiosteoporosis treatments, including medications and health programs.