What is trochanteric fracture?
A trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur.
What do you know about Evans classification?
The Evans-Jensen classification is a system of categorizing intertrochanteric hip fractures based on the fracture pattern of the proximal femur….Classification.
| Type | Description | |
|---|---|---|
| I | A | 2-part non-displaced |
| B | 2-part displaced | |
| II | A | 3-part fracture with separate greater trochanter fragment |
How do you fix a greater trochanter fracture?
Greater trochanter fractures after total hip replacement have been reported in up to 5% of cases. The outcomes are generally poor. Treatment options include non-operative care or surgical treatment with cerclage wires or a claw plate.
How is an intertrochanteric fracture treated?
Intertrochanteric fractures are treated surgically with either a sliding compression hip screw and side plate or an intramedullary nail. The compression hip screw is fixed to the outer side of the bone with bone screws. A large secondary screw (lag screw) is placed through the plate into the femoral head and neck.
Can intertrochanteric fracture heal without surgery?
A broken hip may also be allowed to heal without surgery. In some cases, if the hip is fractured, it may not need to be treated with surgery. For example, if the ends of the broken bone are impacted, or were pushed together due to extreme force from an accident of fall, the bone can heal naturally.
How long does it take for a fractured trochanter to heal?
Most people are able to return to work 4 weeks to 4 months after surgery. But it may take 6 months to 1 year for you to fully recover. Some people, especially older people, are never able to move quite as well as they used to. You heal best when you take good care of yourself.
What is fracture neck of femur?
A fractured neck of femur (broken hip) is a serious injury, especially in older people. It is likely to be life changing and for some people life threatening. It occurs when the top part of the femur (leg bone) is broken, just below the ball and socket joint.
How long does it take a greater trochanter fracture to heal?
Most trochanteric fractures are self-limiting and can be treated without surgical intervention if the displacement is less than 1 cm. However, the patient must not bear weight on the affected leg for up to a month. Many patients may take up to 3 months to return to normal physical activity.
Is an intertrochanteric fracture an emergency?
Operative management of these fractures is considered urgent, not emergent. This allows the many comorbidities with which patients often present to be optimized preoperatively, to reduce morbidity and mortality.
Can a 90 year old recover from a broken hip?
The length of recovery from hip fractures among older patients can increase with age. In general, the older individuals are and the greater number of conditions they have, the longer it can take to recover. The recovery time for a hip replacement ranges from four weeks to up to six months.