What's wrong with left intertrochanteric fracture

It is easy to slip in rainy and snowy weather, and slips can be serious or minor, so generally families do not want their elderly to go out at this time, otherwise they may easily suffer fractures if they fall. Most of the fractures seen in hospitals today are left femoral trochanteric fractures. Relevant knowledge about this situation is also provided here.

Causes

Fractures are mostly caused by indirect external forces. Fractures may occur due to sudden twisting of the lower limbs, forceful adduction or abduction when falling, or direct external impact, and most fractures are comminuted. Elderly people suffer from osteoporosis, and sudden twisting of the lower limbs or falls can cause fractures.

Clinical manifestations

1. Local pain, swelling, tenderness and functional impairment are obvious after trauma. Sometimes subcutaneous ecchymosis can be seen on the outside of the hip. The movement of the affected limb is limited after injury, and the patient cannot stand or walk.

2. The greater trochanter is swollen and tender, the injured limb is shortened, and the distal fracture segment is in an extreme external rotation position, which can reach 90° in severe cases. May also be accompanied by adduction deformity.

treat

1. Conservative treatment

Conservative treatment can be divided into two categories depending on whether the patient can walk after treatment. For patients who cannot walk at all, wear T-shaped shoes or short-term skin traction, perform analgesic symptomatic treatment, and encourage them to sit up as soon as possible. For patients who hope to walk, supracondylar femoral or tibial tubercle traction can generally be used, X-rays can be taken regularly, and the reduction and traction weight can be adjusted as appropriate. If X-ray examination shows callus formation, skin traction or T-shoe fixation should be used for 4 to 8 weeks.

2. Surgery

(1) External fixator The single-arm external fixator is a semi-invasive pin-through external fixation method between surgery and non-surgery. It is suitable for elderly patients with multiple diseases who cannot tolerate surgery.

(2) Multiple nails and multiple Steinmann wires are the most suitable for fixation of the hip biomechanics. However, due to its structural defects, it has disadvantages such as loosening, pin fall-off, and no pressure effect on the fracture ends. In order to overcome the above disadvantages, multiple hollow screws are now used as a substitute.

(3) Side nail plate type.

(4) Intramedullary nail system: ① Gamma nail; ② Proximal femoral intramedullary nail (PFN); ③ PFN-A.

(5) Artificial prosthesis replacement surgery For elderly patients with intertrochanteric fractures whose life expectancy is expected to be less than 10 years, bone cement artificial prosthesis replacement surgery can be selected as a treatment option as long as their physical condition can tolerate it.

The above gives quite a lot of knowledge about left intertrochanteric fracture. It is worth noting that this disease can be avoided as long as you are prepared for it, pay attention to the rationality of diet, the necessity of exercise, and the stability of behavior, then the chance of developing the disease will decrease. I wish you all good health.