How to treat right intertrochanteric fracture

Among the current disease incidence rates, the incidence of right intertrochanteric fracture is still quite high, especially among the elderly and patients with congenital right intertrochanteric fracture, which account for the majority of the population. Current medicine can treat this disease. Generally, people suffering from this disease have difficulty in movement, and in severe cases may suffer from paralysis. Here are some medical knowledge about right intertrochanteric fracture.

Intertrochanteric fractures are common in the elderly. Because the tuberosity is rich in blood supply, non-union is rare after a fracture, but hip varus is very likely to occur. Elderly patients have more complications caused by long-term bed rest.

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.

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

There are several types of surgical treatment for intertrochanteric fractures:

(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.

prevention

The focus of this disease is on patient care, including preoperative and postoperative care, attention to proper nutrition, and early functional exercise. Functional exercise is an important part of fracture treatment and can help the affected limb quickly restore normal function. Functional exercise must be carried out step by step in a certain way, otherwise it will cause adverse consequences.

The above knowledge is a relatively comprehensive introduction to the right intertrochanteric fracture. Generally speaking, for diseases like this, as long as the family members pay attention and cooperate with the doctor's treatment in time, it can be recovered, but it may take a little longer. Finally, I wish you all good health.