Intertrochanteric fractures
- VernacularTitle:股骨转子间骨折
- Author:
Jie WEI
- Publication Type:Journal Article
- Keywords:
Interchanteric fracture;
Internal fixation;
Dynamic hip screws(DHS);
Proximal femoral nail(PFN)
- From:
Chinese Journal of Orthopaedic Trauma
2004;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Intertrochanteric fractures occur mostly in the elderly population. Direction of fracture line, lesser trochanteric fracture, comminution and displacement are the chief concerns in radiological diagnosis of intertrochanteric fractures. Interchanteric fractures can be classified by Evansgrading, Jensens modification of Evansgrading, AO classification, and so on, which are to judge the stability of the fracture. Currently, the basic priciple of management is operation and fixation. The common implants of internal fixation consist of two basic kinds: gliding compression screws with lateral plate, such as dynamic hip screws (DHS), and intramedullary nail fixation, such as Gamma nails and proximal femoral nails. Exteranl fixators are only applied in cases of severe multiple trauma and elderly patients, and artificial joint replacements in those of serere comminuted fractures combined with high osteoporosis.
