Intertrochanteric Hip Fractures Kapolei HI

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Wiley Brunel
(808) 678-2211
91-2139 Fort Weaver Rd Ste 208
Ewa Beach, HI
Specialty
General Surgery, Hand Surgery

Data Provided By:
Steven T Tottori, DDS
(808) 955-1226
525 Farrington Hwy Ste 104
Kapolei, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Mark K Kitamura, DDS
(808) 456-5537
850 Kamehameha Hwy Ste 215
Pearl City, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gregory Henkuo Chow, MD
98-1079 Moanalua Rd
Aiea, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Duke Univ Sch Of Med, Durham Nc 27710
Graduation Year: 1988

Data Provided By:
Randal D Morita, DDS
(808) 486-5505
98-1247 Kaahumanu St Ste 325
Aiea, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Neil Thos Katz, MD
(808) 689-9055
91-896 Makule Rd Ste 103
Ewa Beach, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1981

Data Provided By:
Howard Teruo Fujino, DDS
(808) 677-9741
94-873 Farrington Hwy
Waipahu, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James Kenneth Cole, MD
(808) 206-8231
101B Beard Ave
Honolulu, HI
Specialties
Orthopedics
Gender
Male
Education
Medical School: E Tn State Univ J H Quillen Coll Of Med, Johnson City Tn 37614
Graduation Year: 1994
Hospital
Hospital: Freeman Hosp -West, Joplin, Mo; St Johns Reg Medctr, Joplin, Mo
Group Practice: Midwest Orthopaedic Surgery

Data Provided By:
Curtis N Kamisugi, DDS
(808) 483-3000
99-128 Aiea Heights Dr Ste 201
Aiea, HI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Alan S T Chang, DDS
(808) 487-2411
98-1247 Kaahumanu St Ste 202
Aiea, HI
Specialties
Orthodontics/Dentofacial Orthopedics

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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