Intertrochanteric Hip Fractures Waupaca WI

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Kim Harold Lulloff, MD
Waupaca, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1960

Data Provided By:
David Michael Henneghan, MD
(715) 342-7950
190 Grand Seasons Dr
Waupaca, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Mi State Univ Coll Of Human Med, East Lansing Mi 48824
Graduation Year: 1984
Hospital
Hospital: St Michaels Hospital, Stevens Point, Wi
Group Practice: Ministry Health Care At Rice Medical Center; Rice Medical Center Ministry Health Care

Data Provided By:
Sean P Keane MD
(414) 277-1155
2015 E Newport Ave
Milwaukee, WI
Specialties
Orthopedics

Data Provided By:
Robert Anthony Di Ulio, MD
(414) 643-8800
2801 W Kinnickinnic River Pkwy
Milwaukee, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Med Coll Of Wi, Milwaukee Wi 53226
Graduation Year: 1972
Hospital
Hospital: St Francis Hospital, Milwaukee, Wi; St Lukes Med Ctr, Milwaukee, Wi; West Allis Memorial Hospital, West Allis, Wi
Group Practice: Association Of Orthopedic Surg

Data Provided By:
James V Bruno
(262) 369-7040
600 Walnut Ridge Dr
Hartland, WI
Specialty
Orthopedic Surgery

Data Provided By:
James Henry De Weerd, MD
(715) 345-5100
190 Grand Seasons Dr
Waupaca, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Bowman Gray Sch Of Med Of Wake Forest Univ, Winston-Salem Nc 27157
Graduation Year: 1972

Data Provided By:
Dr. Rodney Lefler
Neuroscience Group of NE Wisconsin
920-725-9373 or toll free 800-201-1194
1305 W. American Drive
Neenah, WI
Specialty
Chiropractor
Conditions
Cervical spine disorders,Degenerative disc disease,Degenerative spinal conditions,Herniated disc / bulging disc,Lumbar spine disorders,Muscle pain / muscle strain,Neck pain,Sciatica / radiculopathy,Scoliosis and deformity,Spinal stenosis,Spondylolisthesis,Sports injuries,Thoracic spine disorders,Whiplash
Treatments
Exercise,McKenzie Method,Musculoskeletal manipulation,Physical therapy,Rehabilitation,Sports medicine,Strength and Conditioning
Proffesional Affiliation
Wisconsin Chiropractic Association,National Strength and Conditioning Association

Timothy S Mologne
(920) 993-1643
277 Altenhofen Dr
Appleton, WI
Specialty
Orthopedic Surgery, Sports Medicine

Data Provided By:
John J Pincsak, DDS
(262) 784-4050
15855 W National Ave
New Berlin, WI
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Kurt Frederick Konkel, MD
(262) 251-7500
North 84th West 16889 Menomonee Avenue
Menomonee Falls, WI
Specialties
Orthopedics
Gender
Male
Education
Medical School: Univ Of Wi Med Sch, Madison Wi 53706
Graduation Year: 1970

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