Intertrochanteric Hip Fractures Chicago IL

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Surrenthia Renee Parker, MD
(773) 947-7670
135 S La Salle St
Chicago, IL
Specialties
Orthopedics
Gender
Female
Education
Medical School: Howard Univ Coll Of Med, Washington Dc 20059
Graduation Year: 1988

Data Provided By:
George B Holmes Jr, MD
(312) 431-3400
800 S Wells St Ste M30
Chicago, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Yale Univ Sch Of Med, New Haven Ct 06510
Graduation Year: 1980
Hospital
Hospital: Rush Presbyterian St Lukes Med, Chicago, Il
Group Practice: Midwest Orthopaedics

Data Provided By:
Matthew David Saltzman, MD
Chicago, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Loyola Univ Of Chicago Stritch Sch Of Med, Maywood Il 60153
Graduation Year: 2003

Data Provided By:
Bryce Bederka, MD
(312) 996-7161
2408 W Flournoy St Apt 2
Chicago, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Il Coll Of Med, Chicago Il 60680
Graduation Year: 2001

Data Provided By:
John J Fernandez Jr, MD
(312) 243-4244
1653 W Congress Pkwy 1471 Jelke
Chicago, IL
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Northeastern Oh Univs Coll Of Med, Rootstown Oh 44272
Graduation Year: 1990

Data Provided By:
Kirk Jeremy Aadalen, MD
800 S Wells St Ste M30
Chicago, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1997

Data Provided By:
Dr.Bernard Bach
(312) 243-4244
800 South Wells Street #137
Chicago, IL
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.8, out of 5 based on 4, reviews.

Data Provided By:
Sharukin Yelda, MD
(773) 561-2600
800 S Wells St
Chicago, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Istanbul Univ, Istanbul Tip Fak, Istanbul, Turkey
Graduation Year: 1965

Data Provided By:
Robert Saml Goldberg, MD
(312) 942-6545
1725 W Harrison St Ste 370
Chicago, IL
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Rush Med Coll Of Rush Univ, Chicago Il 60612
Graduation Year: 1987

Data Provided By:
Benjamin Aaron Goldberg, MD
(312) 996-7161
835 S Wolcott Ave M/C 844
Chicago, IL
Specialties
Orthopedics
Gender
Male
Education
Medical School: Northwestern Univ Med Sch, Chicago Il 60611
Graduation Year: 1992
Hospital
Hospital: Provident Hosp Of Cook County, Chicago, Il
Group Practice: Uossc

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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