Intertrochanteric Hip Fractures Kernersville NC

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Jerome E Jennings, MD
(336) 765-1571
1900 S Hawthorne Rd
Winston Salem, NC
Business
Jennings Clinic PA
Specialties
Orthopedics

Data Provided By:
Gary G Poehling, MD
(336) 716-8200
Medical Ctr Blvd
Winston Salem, NC
Business
WFUBMC Orthopaedics
Specialties
Orthopedics

Data Provided By:
William E Frank, MD
(336) 817-7238
5728 Brightington Ct
Kernersville, NC
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

Data Provided By:
Robert Douglas Teasdall, MD
(336) 716-5929
PO Box 1070
Winston Salem, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Wayne State Univ Sch Of Med, Detroit Mi 48201
Graduation Year: 1986

Data Provided By:
Douglas Jarnigan Kilgus, MD
(336) 716-9657
PO Box 1070
Winston Salem, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Albany Med Coll, Albany Ny 12208
Graduation Year: 1980

Data Provided By:
William Bryan Jennings, DO
(336) 765-1571
1900 S Hawthorne Rd
Winston Salem, NC
Business
Jennings Clinic PA
Specialties
Orthopedics

Data Provided By:
Daniel F Murphy, MD
(336) 375-2300
1130 N Church St
Greensboro, NC
Business
Murphy & Wainer Orthopaedics
Specialties
Orthopedics

Data Provided By:
Bruce D Burns, DDS
(336) 996-4178
210 Broad St
Kernersville, NC
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Arthur Francis Carter, MD
(336) 716-4498
4118 Grassy Knoll Cir
Winston Salem, NC
Specialties
Orthopedics
Gender
Male
Education
Medical School: Howard Univ Coll Of Med, Washington Dc 20059
Graduation Year: 1976

Data Provided By:
Cristin Ferguson, MD
(336) 713-4089
PO Box 1070
Winston Salem, NC
Specialties
Orthopedics
Gender
Male
Education
Graduation Year: 2007

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, ...

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