Intertrochanteric Hip Fractures Brookings SD

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John David Ramsay, MD
(605) 692-6236
400 22nd Ave
Brookings, SD
Specialties
Orthopedics, Aerospace Medicine
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1974
Hospital
Hospital: Brookings Hosp, Brookings, Sd
Group Practice: Brookings Medical Clinic

Data Provided By:
David L Meyer, DDS
(605) 692-7511
105 22nd Ave
Brookings, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Raymond Lee Emerson
(605) 217-2615
575 N Sioux Point Rd
Dakota Dunes, SD
Specialty
Orthopedic Surgery

Data Provided By:
Jeffrey Allen Wehrkamp, DDS
(605) 582-6522
PO Box 497
Brandon, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Daniel Johnson
(605) 668-8780
1000 W 4th St # 1
Yankton, SD
Gender
M
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd
Year of Graduation: 1981
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
3.0, out of 5 based on 2, reviews.

Data Provided By:
John D Ramsay
(605) 697-9500
400 22nd Ave.
Brookings, SD
Specialty
Orthopedic Surgery

Data Provided By:
Geoffrey F Haft
(605) 328-2663
1210 W 18th St
Sioux Falls, SD
Specialty
Orthopedic Surgery

Data Provided By:
Gerald M Rieber
(605) 882-2630
1201 Mickelson Dr Ste 1
Watertown, SD
Specialty
Orthopedic Surgery

Data Provided By:
Hollis Le Roy Ahrlin Jr, MD
(605) 342-9136
2929 5th St Ste 150
Rapid City, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wi Med Sch, Madison Wi 53706
Graduation Year: 1969
Hospital
Hospital: Rapid City Regional Hospital, Rapid City, Sd
Group Practice: Ahrlin Orthopedics

Data Provided By:
Gail Max Benson, MD
(605) 331-5890
810 E 23rd St
Sioux Falls, SD
Specialties
Orthopedics, General Practice
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1967
Hospital
Hospital: Mc Kennan Hospital, Sioux Falls, Sd
Group Practice: Orthopedic Institute

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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, ...

Click here to read the rest of this article from eOrthopod.com