Intertrochanteric Hip Fractures Cleveland OH

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Robert M Coale, MD
19349 Riverwood Ave
Rocky River, OH
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Nawaf Abdullah Masri, DDS
(734) 261-8860
Rocky River, OH
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
John M Clough, MD
(216) 283-6860
600 Superior Ave E Ste 2100
Cleveland, OH
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Robert H Anschuetz
(440) 449-0788
6770 Mayfield Road
Mayfield Heights, OH
Specialty
Orthopedic Surgery

Data Provided By:
Kingsbury G Heiple, MD
(216) 464-2083
28 Pepper Creek Dr
Pepper Pike, OH
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Mark Schickendantz, MD
Cleveland, OH
Specialty
Orthopaedic Sugeon

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James Walter Ballrick, DDS
(440) 331-5450
21851 Center Ridge Rd Ste 405
Rocky River, OH
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Mark S Berkowitz
(216) 621-4060
1730 W 25th St
Cleveland, OH
Specialty
Orthopedic Surgery

Data Provided By:
William Reinert Bohl, MD
(216) 621-4060
1730 W 25th St Ste 3200
Cleveland, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Case Western Reserve Univ Sch Of Med, Cleveland Oh 44106
Graduation Year: 1972

Data Provided By:
Stephen Michael Ritter, MD
Cleveland, OH
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ia Coll Of Med, Iowa City Ia 52242
Graduation Year: 2000

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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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