Intertrochanteric Hip Fractures Pierre SD

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Stephen Young Stout, MD
(605) 224-5901
711 E Wells Ave Ste 200
Pierre, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Sd Sch Of Med, Vermillion Sd, 57069
Graduation Year: 1980

Data Provided By:
Gonzalo H Sanchez
(605) 224-7070
100 Mac Lane
Pierre, SD
Specialty
Orthopedic Surgery

Data Provided By:
Gonzalo Henry Sanchez, MD
(605) 222-0075
772 E Dakota Ave
Pierre, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1998

Data Provided By:
Jack Lynn Wilson, DDS
(605) 882-1500
PO Box 1450
Watertown, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Dr.Thomas Jacobson
(605) 217-2667
575 North Sioux Point Road
North Sioux City, SD
Gender
M
Education
Medical School: Univ Of Ia Coll Of Med
Year of Graduation: 1985
Speciality
Orthopedic Surgeon
General Information
Hospital: St Lukes Reg Medctr, Sioux City, Ia
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Stephen Y Stout
(604) 224-7070
100 Mac Ln
Pierre, SD
Specialty
Orthopedic Surgery

Data Provided By:
Thomas E Roth, DDS
(605) 224-6205
711 E Wells Ave Ste 210
Pierre, SD
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gerald Rexford Herrin, MD
(605) 224-2010
640 E Sioux Ave
Pierre, SD
Specialties
Orthopedics
Gender
Male
Education
Medical School: Or Hlth Sci Univ Sch Of Med, Portland Or 97201
Graduation Year: 1963

Data Provided By:
Mark Verdun
(605) 668-8780
1000 W 4th St
Yankton, SD
Specialty
Orthopedic Surgery

Data Provided By:
Patricia Hawkins Leonard, DDS
(605) 338-5253
4804 S Cliff Ave
Sioux Falls, SD
Specialties
Orthodontics/Dentofacial Orthopedics

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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