Intertrochanteric Hip Fractures Flagstaff AZ

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Roman T. Lewicky, MD
(928) 774-7757
1485 N. Tourquoise Dr.
Flagstaff, AZ
Business
Northern Arizona Orthopaedics, LTD.
Specialties
Orthopedics
Insurance
Insurance Plans Accepted: Blue CrossUnited Healthcare
Medicare Accepted: Yes
Workmens Comp Accepted: Yes
Accepts Uninsured Patients: Yes
Emergency Care: No

Doctor Information
Primary Hospital: Flagstaff Medical Center
Residency Training: Northwestern University Medical Center Orthopaedic Surgery 1975
Medical School: Northwestern University Medical School, 1968
Additional Information
Member Organizations: ABOS AAOS AANA ArMA
Awards: Arizona Sports Medicine Doctor of the Year, 1982.
Languages Spoken: English,Spanish,Ukrainian,Polish

Data Provided By:
John Wight Durham, MD
(928) 774-7757
1485 N Turquoise Dr Ste 200
Flagstaff, AZ
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Vt Coll Of Med, Burlington Vt 05405
Graduation Year: 1986

Data Provided By:
Amber Louise Randall
(928) 773-2534
77 W Forest Ave
Flagstaff, AZ
Specialty
Adult Reconstructive Orthopaedic Surgery

Data Provided By:
Nathaniel James Stewart, MD
(608) 791-9876
1200 N Beaver St
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Mn Med Sch-Minneapolis, Minneapolis Mn 55455
Graduation Year: 1992

Data Provided By:
Francis Xavier Maher
(928) 773-2535
77 W Forest Ave
Flagstaff, AZ
Specialty
Orthopedic Surgery

Data Provided By:
Paul Kingsley Forberg, MD
(928) 527-0904
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1967

Data Provided By:
Yuri M. Lewicky, MD
(928) 774-7757
1485 N. Turquoise Drive 
Flagstaff, AZ
Specialty
Orthopaedic Sugeon
Gender
Sports Medicine Doctor, shoulder, knee injuries

Data Provided By:
Mark David Mellinger, MD
(800) 773-2553
1485 N Turquoise Dr Ste 200
Flagstaff, AZ
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Univ Of Az Coll Of Med, Tucson Az 85724
Graduation Year: 1997

Data Provided By:
William Charles Gaylord, DDS
(928) 774-0881
713 N Beaver St
Flagstaff, AZ
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Bert Mc Kinnon, MD
(928) 773-2538
77 W Forest Ave Ste 301
Flagstaff, AZ
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Co Sch Of Med, Denver Co 80262
Graduation Year: 1973

Data Provided By:
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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