Intertrochanteric Hip Fractures Vernon Rockville CT

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Jesse Grant Eisler, MD
(860) 872-6229
281 Hartford Tpke
Vernon Rockville, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mt Sinai Sch Of Med Of The City Univ Of Ny, New York Ny 10029
Graduation Year: 1996
Hospital
Hospital: Deaconess Hosp Of Cincinnati, Cincinnati, Oh
Group Practice: Wellington Orthopaedic & Sports Medicine

Data Provided By:
Kenneth Rupert Alleyne, MD
(860) 875-3676
PO Box 3255
Vernon, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1994

Data Provided By:
Dr.VIPUL NANAVATI
(860) 648-4480
2800 Tamarack Rd # 104
South Windsor, CT
Gender
M
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
James Thomas Mazzara, MD
(860) 646-0188
36 Haynes St
Manchester, CT
Specialties
Orthopedics, General Surgery
Gender
Male
Education
Medical School: New York Med Coll, Valhalla Ny 10595
Graduation Year: 1984

Data Provided By:
Michael Passaretti, MD
(860) 646-0188
36 Haynes St
Manchester, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Tufts Univ Sch Of Med, Boston Ma 02111
Graduation Year: 1968

Data Provided By:
Jesse Eisler
(860) 872-6229
460 Hartford Tpke
Vernon, CT
Specialty
Orthopedic Surgery

Data Provided By:
Richard Dennis Fischer, MD
(860) 872-3717
428 Hartford Tpke Ste 210
Vernon, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Umdnj-New Jersey Med Sch, Newark Nj 07103
Graduation Year: 1983

Data Provided By:
Michael M Passaretti
(860) 646-0188
36 Haynes St
Manchester, CT
Specialty
Orthopedic Surgery

Data Provided By:
Dr.Michael Passaretti
(860) 646-0188
36 Haynes Street
Manchester, CT
Gender
M
Education
Medical School: Tufts Univ Sch Of Med
Year of Graduation: 1968
Speciality
Orthopedic Surgeon
General Information
Accepting New Patients: Yes
RateMD Rating
5.0, out of 5 based on 1, reviews.

Data Provided By:
Wells Case Jacobson, MD
(860) 646-0188
36 Haynes St
Manchester, CT
Specialties
Orthopedics
Gender
Male
Education
Medical School: Hahnemann Univ Sch Of Med, Philadelphia Pa 19102
Graduation Year: 1975
Hospital
Hospital: Manchester Mem Hosp, Manchester, Ct
Group Practice: Manchester Orthopedic Surgery And Sports Medicine

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, ...

Click here to read the rest of this article from eOrthopod.com