Review Article

J Korean Hip Soc 2010; 22(1): 1-12

Published online March 1, 2010

© The Korean Hip Society

Surgical Treatment of Femur Intertrochanteric and Subtrochanteric Fracture

Jong-Oh Kim, MD, Tae-Ho Kim, MD*

Department of Orthopedic Surgery, Mokdong Hospital, Ewha Woman's University School of Medicine, Seoul, Korea
Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea*

Correspondence to : Jong-Oh Kim, MD
Department of Orthopedic Surgery, Mokdong Hospital, Ewha Woman’s University School of Medicine, 911-1 Mok-dong, Yangcheon-gu, Seoul 158-710, Korea
TEL: +82-2-2650-5276 FAX: +82-2-2642-0349
E-mail: ewhamdos@korea.com

Received: July 27, 2009; Revised: October 20, 2009; Accepted: November 30, 2009

Abstract

Femur intertrochanteric and subtrochanteric fractures are extracapsular hip fractures and they show a bimodal age distribution. Most hip fractures in young patient are subtrochanteric or basicervical fractures that are caused by high energy injury. Most of the hip fractures in old patients are intertrochanteric fractures related to osteoporosis and low energy injury. For proximal hip fractures, the muscles around the hip joint make reduction difficult and the position of the lag screws affects healing of the fracture. To lower the complications of these fractures, surgeons can use an appropriate implant along with performing good reduction and good lag screw positioning. We report here on our review of femur intertrochanteric and subtrochanteric fractures, the characteristics of compression hip screws, the intramedullary devices and the technical pitfalls.

Keywords Femur, Intertrochanteric fracture, Subtrochanteric fracture, Compression hip screw, Intramedullary device

Article

Review Article

J Korean Hip Soc 2010; 22(1): 1-12

Published online March 1, 2010 https://doi.org/10.5371/jkhs.2010.22.1.1

Copyright © The Korean Hip Society.

Surgical Treatment of Femur Intertrochanteric and Subtrochanteric Fracture

Jong-Oh Kim, MD, Tae-Ho Kim, MD*

Department of Orthopedic Surgery, Mokdong Hospital, Ewha Woman's University School of Medicine, Seoul, Korea
Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea*

Correspondence to:Jong-Oh Kim, MD
Department of Orthopedic Surgery, Mokdong Hospital, Ewha Woman’s University School of Medicine, 911-1 Mok-dong, Yangcheon-gu, Seoul 158-710, Korea
TEL: +82-2-2650-5276 FAX: +82-2-2642-0349
E-mail: ewhamdos@korea.com

Received: July 27, 2009; Revised: October 20, 2009; Accepted: November 30, 2009

Abstract

Femur intertrochanteric and subtrochanteric fractures are extracapsular hip fractures and they show a bimodal age distribution. Most hip fractures in young patient are subtrochanteric or basicervical fractures that are caused by high energy injury. Most of the hip fractures in old patients are intertrochanteric fractures related to osteoporosis and low energy injury. For proximal hip fractures, the muscles around the hip joint make reduction difficult and the position of the lag screws affects healing of the fracture. To lower the complications of these fractures, surgeons can use an appropriate implant along with performing good reduction and good lag screw positioning. We report here on our review of femur intertrochanteric and subtrochanteric fractures, the characteristics of compression hip screws, the intramedullary devices and the technical pitfalls.

Keywords: Femur, Intertrochanteric fracture, Subtrochanteric fracture, Compression hip screw, Intramedullary device

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