DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20182469

Clinical profile of patients with intertrochanteric fractures of hip attending tertiary care hospital

Srivanth Dasari, Mirza Shahrukh Baig, Anoop Nippuleti, Raviteja Rudraraju

Abstract


Background: The hip joint is ball and socket joint. In weight bearing the pressure forces are transmitted to the head and neck of the femur at an angle of 165 degrees to 170 degrees regardless of position of pelvis. The plane of the force coincides with strongly developed trabeculae that lie in the medial portion of the femoral neck and extend upwards through the supero-medial aspect of the femoral head. These trabeculae are in line with similar pressure trabeculae that start at acetabulum and run upwards and medial to sacro-iliac joint.

Methods: After the patient with intertrochanteric fracture was admitted to our hospital, all the necessary clinical details were recorded in the proforma prepared for this study. After the completion of the hospital treatment patients were discharged and called for follow-up to outpatient department at regular intervals (6 weeks, 12 weeks, 6 months, 12 months) for clinical and radiological evaluation.

Results: The most common age group was in the range of 60 to 70 yrs. Most common mode of injury was trivial fall in this series. 56% of the patients having type II BOYD and GRIFFIN fracture.

Conclusions: Most common mode of injury in young patients is the road traffic accident while most common mode of injury in older patients is the simple fall (domestic fall). 


Keywords


Hip Joint, Intertrochanteric fractures, Simple fall

Full Text:

PDF

References


Kiran Kumar GN, Sharma G, Khatri K. Treatment of Unstable Intertrochanteric Fractures with Proximal Femoral Nail Antirotation II: Our Experience in Indian Patients. Open Orthop J. 2015;9:456-9.

Kaufer H, Matthews LS, Sonstegard D. Stable Fixation of Intertrochanteric Fractures. J Bone Joint Surg. 1974;56: 899-907.

Habernek H, Wallner T, Aschauer E, Schmid L. Comparison of Enders Nail, Dynamic Hip Screw and Gamma nails in the treatment of peritrochanteric femoral fracture. Orthopaedics J. 2000;23:121- 7.

Mermelstein LE, Chow LC, Friedman C, Crisco JJ 3rd. Reinforcement of cancellous bone screw with calcium phosphate cement. J Orthop Trauma. 1996;5:15-20.

Kyle RF, Wright TM, Burstein AH. Biomechanical analysis of the sliding characteristics of compression hip screws. J Bone Joint Surgery Am. 1980;62:130.

Miedel R, Ponzer S, Tornkvist H, Soderqvist A, Tidermark J. The standard Gamma nail or the Medoff sliding plate for unstable trochanteric and subtrochanteric fractures: A randomised, controlled trial. J Bone Joint Surg Brit. 2005;87:68-75.

Gallangher JC, Melton LJ, Riggs BL, Bergstrath E. Epidemiology of fractures of the proximal femur in Rocester, Minnesota. Clinical Orthop. 1980;150:163-71.

Cleveland M. A ten-year analysis of intertrochanteric fractures. JBJS. 1983;6:218.

Horn JS, Wang YC. Mechanics of trochanteric anatomy of trochanteric fractures. Br Jr Surg. 1964;1:574.

Owen S. Aetiology of trochanteric fractures. JBJS. 1949;1:548.