Intertrochanteric Hip Fractures Mustang OK

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Harvey C Jenkins Jr., MD
(405) 686-1700
8603 S Western Ave
Oklahoma City, OK
Business
Aria Orthopedics
Specialties
Orthopedics

Data Provided By:
Dr.Michael Davoli
(405) 350-6770
1617 Professional Circle
Yukon, OK
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
2.3, out of 5 based on 3, reviews.

Data Provided By:
Michael James Davoli, MD FACS
(405) 350-6770
1617 Professional Cir
Yukon, OK
Gender
Male
Education
Medical School: New Jersey
Graduation Year: 1977

Data Provided By:
James August Rosacker, MD
(405) 378-4470
3130 SW 89th St Ste 100
Oklahoma City, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1973

Data Provided By:
Dennis Earl Foster, MD
(405) 378-4472
3130 SW 89th St Ste 100
Oklahoma City, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduation Year: 1980
Hospital
Hospital: Integris Jim Throrpe Rehabilit, Oklahoma City, Ok; Physicians Hospital Of Oklahom, Oklahoma City, Ok
Group Practice: Southwest Medical Ctr Plz

Data Provided By:
Stuart Brady Stephens, DDS
(405) 350-0700
1025 E Vandament Ave Ste 100
Yukon, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Neal Conrad Capel, MD
(601) 605-0934
Yukon, OK
Specialties
Orthopedics
Gender
Male
Languages
Spanish
Education
Medical School: Univ Of Md Sch Of Med, Baltimore Md 21201
Graduation Year: 1955

Data Provided By:
Stephen Mc Cullough, DDS
(405) 350-1343
508 W Vandament Ave # 200
Yukon, OK
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
James August Rosacker
(405) 378-8141
3110 Sw 89th St
Oklahoma City, OK
Specialty
Orthopedic Surgery

Data Provided By:
Paul Daniel Maitino, DO
2149 SW 59th St Ste 201
Oklahoma City, OK
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of New England, Coll Of Osteo Med, Biddeford Me 04005
Graduation Year: 1992

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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