Intertrochanteric Hip Fractures Chandler AZ

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William A Salyer, MD
(602) 631-3161
690 N Cofco Center Ct
Phoenix, AZ
Business
Arizona Orthopaedic Associates Inc
Specialties
Orthopedics

Data Provided By:
John Weir Gritz, DDS
(623) 934-8904
500 W Chandler Blvd
Chandler, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Irwin Shapiro, MD
(520) 749-3551
10926 E Bellflower Dr
Sun Lakes, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 1967
Hospital
Hospital: Phoenix Baptist Hosp Med Ctr, Phoenix, Az; John C Lincoln Hosp -Deer Val, Phoenix, Az
Group Practice: Illini Orthopedic

Data Provided By:
Ronald Robert Straub, MD
(602) 233-0204
Chandler, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1973

Data Provided By:
J Keith Braun
(480) 899-4333
604 W Warner Rd
Chandler, AZ
Specialty
Orthopedic Surgery

Data Provided By:
Jeffrey Keith Braun, MD
(480) 899-4333
604 W Warner Rd Ste C3
Chandler, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1981

Data Provided By:
Ralph Theo Heap, MD
(480) 899-4333
604 W Warner Rd Ste C3
Chandler, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1978

Data Provided By:
Kirk J Anderton, DDS
(480) 963-1355
803 W Elliot Rd
Chandler, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Ken E Danyluk, DDS
(480) 759-3333
4350 E Ray Rd Bldg 4 Ste 121
Chandler, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Joseph Michael Scoggin, MD
(480) 219-1965
2095 W Warner Rd Ste 19
Chandler, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loma Linda Univ Sch Of Med, Loma Linda Ca 92350
Graduation Year: 1991

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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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