Intertrochanteric Hip Fractures Broken Arrow OK

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Marchel Word Clements, DO
(918) 451-1100
2950 S Elm Pl Ste 460
Broken Arrow, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Des Moines Univ, Coll Osteo Med & Surg, Des Moines Ia 50312
Graduation Year: 1990
Hospital
Hospital: Tulsa Reg Med Ctr, Tulsa, Ok
Group Practice: Oklahoma Sports Medicine

Data Provided By:
Kevin Christophe Duffy, DDS
(918) 828-9326
1621 S Eucalyptus Ave Ste 201
Broken Arrow, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Paul David Peterson
(918) 451-1100
2950 S Elm Pl
Broken Arrow, OK
Specialty
Orthopedic Surgery

Data Provided By:
John Taylor Lockard, DDS
(918) 455-0976
3200 S Elm Pl Ste 110
Broken Arrow, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Garrett Edward Watts
(918) 451-3000
2950 S Elm Pl
Broken Arrow, OK
Specialty
Orthopedic Surgery

Data Provided By:
Paul David Peterson, MD
(918) 451-1100
2950 S Elm Pl Ste 460
Broken Arrow, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1980
Hospital
Hospital: St Francis Hosp -Broken Arrow, Broken Arrow, Ok; St John Med Ctr, Tulsa, Ok; St Francis Hospital, Tulsa, Ok; Southcrest Hospital, Tulsa, Ok
Group Practice: Broken Arrow Orphopedics

Data Provided By:
Garrett Edward Watts, MD
(918) 451-3000
2950 S Elm Pl Ste 456
Broken Arrow, OK
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1982
Hospital
Hospital: St Francis Hosp -Broken Arrow, Broken Arrow, Ok; St Francis Hospital, Tulsa, Ok
Group Practice: Broken Arrow Orphopedics

Data Provided By:
Dr.Garrett Watts
(918) 451-3000
2950 South Elm Place #456
Broken Arrow, OK
Gender
M
Education
Medical School: Univ Of Ok Coll Of Med
Year of Graduation: 1982
Speciality
Orthopedic Surgeon
General Information
Hospital: St Francis Hosp -Broken Arrow, Broken Arrow, Ok
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Garrett Edward Watts, MD
(918) 451-3000
2950 S Elm Pl
Broken Arrow, OK
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1982
Hospital
Hospital: St Francis Hosp -Broken Arrow, Broken Arrow, Ok; St Francis Hospital, Tulsa, Ok
Group Practice: Broken Arrow Orphopedics

Data Provided By:
Marchel Word Clements
(918) 451-1100
2950 S Elm Pl
Broken Arrow, OK
Specialty
Orthopedic Surgery

Data Provided By:
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Best Treatment Choice for Intertrochanteric Hip Fractures

All intertrochanteric hip fractures are not alike. And because of that, each one must be evaluated and treated depending on the specific subtype of fracture present. The intertrochanteric region of the hip is just below the femoral neck. The femoral neck is the short column of bone between the main (long) shaft of the femur (thigh bone) and the round head at the top that fits into the hip socket.

About 40 per cent of all hip fractures in older adults are intertrochanteric fractures. A fall from a standing position is the most common mechanism of injury. But, of course, there are risk factors that lead to the fall -- older age, fragile or thin bones from osteoporosis, poor balance, and a previous history of falls. Women seem to be at greater risk for intertrochanteric fractures compared with men.

To repeat: all hip fractures and especially all intertrochanteric hip fractures are not alike and should not be treated in the same way each time. As the author of this article points out, the location and severity of the fracture are two defining characteristics that must be considered. A fracture high up near the femoral head is different from a fracture down lower (closer to the femoral shaft).

The failure rate of surgery to repair intertrochanteric hip fractures is high -- more than 50 per cent. One way to reduce this unacceptably high complication rate is to treat each and every intertrochanteric hip fracture according to its unique fracture pattern. The resulting anatomical and biomechanical changes must be reviewed and considered as well.

Stable fractures (those that are not displaced or separated and not likely to do so) can be treated with internal fixation . Fixation refers to the placement of metal plates, screws, pins, and/or wires to hold the broken pieces of bone together until they can heal. But fractures that extend up into the joint (called intracapsular ) may not respond as well. Total hip replacement may be the better choice for intertrochanteric fractures labeled as severe, unstable, and/or intracapsular. Hip replacement may also be preferred when the blood supply to the hip is compromised.

The surgeon is faced with quite a challenge when making the decision as to the "best" treatment. The goal is to relieve the patient's pain and keep him or her mobile (if they were mobile before the fracture). The first decision is whether to try and repair the fracture or replace the hip. Sometimes that decision is fairly evident. The patient's condition, activity level, and the severity of the fracture speak for themselves.

But more often, the surgeon must weigh the odds of the hip collapsing after repair, thus causing further pain, weakness, deformity, and difficulty standing and walking. The time between the fracture and surgery will also make a difference. Studies show the best results are linked with earlier surgery (within 24 hours of the fracture).

And surgeons must keep up with current studies and data. For example, ...

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