Intertrochanteric Hip Fractures Columbia MO

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Brian Wegman
(573) 882-5731
One Hospital Drive
Columbia, MO
Specialty
Orthopedic Surgery

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Brad A Twaddle, DDS
(573) 446-5437
Columbia, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Brett Duane Crist, MD
(573) 882-5731
One Hospital Dr MC213
Columbia, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1999

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Steven E Taylor, DDS
(573) 446-7259
1400 Forum Blvd Ste 12
Columbia, MO
Specialties
Orthodontics/Dentofacial Orthopedics

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Gregory John Della Rocca
(573) 882-3104
One Hospital Dr
Columbia, MO
Specialty
Orthopedic Surgery

Data Provided By:
Ashish Upadhyay
(574) 882-5731
One Hospital Drive
Columbia, MO
Specialty
Orthopedic Surgery

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William Alexander Ramlow, DDS
(573) 446-7259
Forum Shopping Ctr 1400 Forum Blvd Ste 12
Columbia, MO
Specialties
Orthodontics/Dentofacial Orthopedics

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Jerry Dee Harl, DDS
(573) 446-7259
1400 Forum Blvd Ste 12 Forum Shopping Ctr
Columbia, MO
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Steven Montgomery Kane, MD
(573) 882-3106
4603 Summer Brook Ct
Columbia, MO
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1989

Data Provided By:
Jason Thaddeus Leaseburg, MD
(573) 882-3104
Rm MC213 #1 Hospital Dr,
Columbia, MO
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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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