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The use of open reduction has been reported as 8-13% among pertrochanteric fractures, and 52% among intertrochanteric fractures. [43] Both intertrochanteric and pertrochanteric fractures may be treated by a dynamic hip screw and plate, or an intramedullary rod. [42] The fracture typically takes 3–6 months to heal.
The intertrochanteric line is a line upon the anterior aspect of the proximal end of the femur, [1] extending between the lesser trochanter and the greater trochanter. It is a rough, variable ridge. It is a rough, variable ridge.
The Evans–Jensen classification is a system of categorizing intertrochanteric hip fractures based on the fracture pattern of the proximal femur. Classification
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
Femoral shaft fractures occur in a bimodal distribution, whereby they are most commonly seen in males age 15-24 (due to high energy trauma) and females aged 75 or older (pathologic fractures due to osteoporosis, low-energy falls). [20] [14] In Germany, femoral fractures are the most common type of fracture seen and treated in hospitals. [9] [21]
Multidetector computed tomography (MDCT) is a highly valuable imaging tool for the diagnosis of occult fractures. CT has several advantages including short acquisition time (compared to MRI), the ability to acquire volumetric and isotropic image data sets, the opportunity to reconstruct multiplanar reformations in any arbitrary plane, and excellent spatial resolution.
The intertrochanteric crest is a prominent smooth bony ridge upon the posterior surface of the femur at the junction of the neck and the shaft of the femur; [1] together with the intertrochanteric line on the anterior side of the head, the intertrochanteric crest marks the transition between the femoral neck and shaft. [2]: 192
In the course of avascular necrosis, however, the healing process is usually ineffective and the bone tissues break down faster than the body can repair them. If left untreated, the disease progresses, the bone collapses, [ 28 ] and the joint surface breaks down, leading to pain and arthritis.