Intertrochanteric Fractures – What You Need to Know

Out of different types of hip-related fractures, one is the intertrochanteric fracture. One of the most annoying fractures is hip fractures that pose difficulty to the patient while walking, sitting, and doing other physical activities as well. 

Intertrochanteric fracture is a specific type of hip fracture that involves the points where thigh and hip muscles attach. This fracture occurs between the trochanters that are bony projections on the thigh bone (known as femur).  The bone contains two trochanters namely the greater trochanter and the lesser trochanter. So, when we talk about intertrochanteric fractures, then they occur between the greater and the lesser trochanters. Their treatment requires the use of orthopedic implants.

Siora Surgicals is a trusted name in manufacturing numerous trauma implants and exporting its quality products to different parts of the world. The company is also admired for being a reliable orthopedic implant supplier in Romania.

According to reports, almost 50 percent of all hip fractures that occur due to falling are intertrochanteric fractures.

Symptoms of Intertrochanteric Fractures

Listed below are some of the most common symptoms of intertrochanteric fractures:

  • Severe hip pain
  • Inability to put weight on the leg of the injured side
  • Difficulty or inability to stand after falling
  • Swelling and bruising around the hip
  • Pain and stiffness in the leg of the injured side
  • The unnatural position of the leg or it may be turned to the injured side

Causes of Intertrochanteric Fractures

The condition of intertrochanteric fracture is known to be associated with osteoporosis and osteopenia and is seen in the aging population.

So, if we talk about the most common cause of intertrochanteric fractures, then it is due to fall or trauma. The reason why hip fractures are said to be one of the most common in old-age is that elderly people are more prone to falling than younger ones. Besides this, people with weak bones are also likely to experience intertrochanteric fractures irrespective of their age. Plus, hip fractures are also seen during extreme car collisions or other automobile accidents.

What are the Risk Factors of Intertrochanteric Fractures?

Certain risk factors have been noticed when it comes to intertrochanteric fractures:

  • In females
  • People with age over 60 years
  • People with a history of falls
  • People suffering from osteoporosis
  • People with other bone-related problems or fractures
  • People with low muscle mass and low bone density
  • People having problems while walking or maintaining balance while standing

How Intertrochanteric Fractures are Detected?

When it comes to the diagnosis of intertrochanteric fractures, then the orthopedist will first perform a physical examination followed by an X-ray. Apart from X-ray, other tests like MRI or bone scans could also be indicated to assess the condition better.

The Treatment

The most preferred treatment of the intertrochanteric fracture is surgery with open reduction and internal fixation (ORIF). The reason for this is, that hip fractures can take a lot of time to heal thus, surgery will ensure a better recovery.

During the surgery of intertrochanteric fracture, certain orthopedic implants are used including TFN Nailing System along with bone screws, locking plates, and pins. These trauma implants will hold broken bone fragments in their correct anatomical position and ensure better healing.

After surgery, the recovery time will solely depend upon the age of the patient along with the medical history. The minimum time expected for the healing of hip fracture is around three months and it could be even more. Rehabilitation is also suggested by the surgeon after surgery for improved recovery.

People with bleeding problems or who cannot tolerate anesthesia may not be chosen for the surgery.