Intertrochanteric Hip Fractures Oak Ridge TN

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Duncan L Mc Kellar, MD
(865) 483-8478
988 Oak Ridge Tpke Ste 100
Oak Ridge, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: U Of Tx Med Sch At Houston, Houston Tx 77225
Graduation Year: 1983

Data Provided By:
Clifford Lewis Posman, MD
(865) 481-2541
90 Vermont Ave
Oak Ridge, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Graduation Year: 1980

Data Provided By:
Jean-Francois P Reat, MD
(865) 483-8478
988 Oak Ridge Tpke Ste 100
Oak Ridge, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: Baylor Coll Of Med, Houston Tx 77030
Graduation Year: 1992
Hospital
Hospital: Fort Sanders Parkwest Med Ctr, Knoxville, Tn
Group Practice: Tennessee Orthopedic Clinic

Data Provided By:
Cletus J McMahon
(865) 482-9025
90 Vermont Ave
Oak Ridge, TN
Specialty
Orthopedic Surgery

Data Provided By:
Ronald J French
(865) 483-8478
988 Oak Ridge Tpke
Oak Ridge, TN
Specialty
Hand Surgery

Data Provided By:
Michael Patrick O'Brien
(865) 482-9025
90 Vermont Ave
Oak Ridge, TN
Specialty
Orthopedic Surgery

Data Provided By:
Randall Raymond Robbins, MD
90 Vermont Ave
Oak Ridge, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: La State Univ Sch Of Med In Shreveport, Shreveport La 71130
Graduation Year: 1989

Data Provided By:
Ronald James French Jr, MD
(865) 524-5365
988 Oak Ridge Tpke Ste 100
Oak Ridge, TN
Specialties
Orthopedics, Hand Surgery
Gender
Male
Education
Medical School: Tulane Univ Sch Of Med, New Orleans La 70112
Graduation Year: 1988

Data Provided By:
Jean-Francois P Reat
(865) 483-8478
988 Oak Ridge Tpke
Oak Ridge, TN
Specialty
Orthopedic Surgery

Data Provided By:
Paul Ellsworth Spray, MD
(865) 483-9936
507 Delaware Ave
Oak Ridge, TN
Specialties
Orthopedics
Gender
Male
Education
Medical School: George Washington Univ Sch Of Med & Hlth Sci, Washington Dc 20037
Graduation Year: 1944

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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