Intertrochanteric Hip Fractures Reno NV

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Peter Leonid Althausen, MD
(775) 786-3040
555 N Arlington Ave
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1999

Data Provided By:
Timothy James Bray, MD
(775) 788-5283
555 N Arlington Ave
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Auto De Guadalajara, Fac De Med, Guadalajara, Jalisco, Mexico
Graduation Year: 1974

Data Provided By:
Michael Todd Daines, MD
401 W 2nd St
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Columbia Univ Coll Of Physicians And Surgeons, New York Ny 10032
Graduation Year: 2003

Data Provided By:
James R Herz, MD FACS
(775) 786-3040
555 N Arlington Ave
Reno, NV
Gender
Male
Education
Medical School: Washington (st. Louis)
Graduation Year: 1942

Data Provided By:
Dr.James Pappas
(775) 322-1200
343 Elm Street #308
Reno, NV
Gender
M
Education
Medical School: Univ Of Nv Sch Of Med
Year of Graduation: 1986
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
4.8, out of 5 based on 2, reviews.

Data Provided By:
John Joseph Halki II, MD
(775) 786-3040
555 N Arlington Ave
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1994
Hospital
Hospital: Tahoe Pacific Hospital, Sparks, Nv
Group Practice: Reno Orthopaedic Clinic; Reno Orthopaedic Clinic Sparks Clinic Office; Reno Orthopaedic Clinic Winnemucca Clinic

Data Provided By:
Kirk Alan Kaiser
(775) 786-3040
555 N. Arlington Avenue
Reno, NV
Specialty
Orthopedic Surgery

Data Provided By:
James Nicholas Pappas, MD
(775) 786-3040
Reno Orthopaedic Clinic 555 N Arlington Ave
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Nv Sch Of Med, Reno Nv 89557
Graduation Year: 1986

Data Provided By:
John Joseph Halki
(775) 786-3040
555 N Arlington Ave
Reno, NV
Specialty
Orthopedic Surgery

Data Provided By:
Richard W Blakey, MD
(775) 786-3040
555 N Arlington Ave
Reno, NV
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Southern Ca Sch Of Med, Los Angeles Ca 90033
Graduation Year: 1975

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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