![]() Like an intertrochanteric fracture, subtrochanteric fractures are treated with a rod, however the rod is usually much longer and sometimes goes all the way down to the knee. This often necessitates a larger incision. In general the surgery is much more challenging because aligning the bone back to its proper anatomical position is quite difficult. Subtrochanteric Fracture: While these fractures are treated similarly, they are somewhat different.Additionally, early mobilization prevents blood clots, pneumonia, bed sores, and other medical complications known to happen after hip fractures. While the hip is sore postoperatively, it is completely safe to bear weight and doing so compresses the fracture and promotes healing. Post-Surgical Expectations: Most patients are allowed to “weight bear as tolerated” meaning that they can put as much weight down on the leg as pain will allow.This is why I almost always use this system for my patients. Compression stimulates the bone to heal faster and improved stability decreases postoperative pain during mobilization, making recovery faster and safer. ![]() The use of a second screws allows for superior stabilization of the fracture as well as the ability to compress the fracture. Dual screw system: Some hip fracture systems use a single screw for fixation of the fracture.Postoperatively full weight is allowed on the hip. One screw is also placed further down the thigh bone to lock in rotation of the hip fracture and provide stability. Compression screws are then passed into the femoral neck and head to hold the fracture stable. Surgery is performed by inserting a rod down the femur (thigh bone). They require surgical stabilization for healing. The fractures are rarely “clean” breaks and usually the bones have fairly significant comminution (fragmentation). Intertrochanteric fractures are the most common of all hip fractures. Intertrochanteric/Subtrochanteric Hip Fracture Despite the fact that all of these fractures occur in the “hip”, the treatment can vary widely based on the location of the fracture, the amount of displacement, and the health of the patient. ![]() Isolated femoral head or lesser trochanteric fractures are very rare. Femoral neck fractures also require surgery, but are treated differently as discussed later. However fractures occurring between the greater and lesser trochanters, called Intertrochanteric Fractures do require surgery, as do fractures occurring below the trochanters known as Subtrochanteric Fractures. Typically, isolated greater trochanteric fractures can be treated non-operatively. Fractures can occur anywhere within these 4 regions.
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