What is a Pertrochanteric fracture?
Pertrochanteric femoral fractures are a subtype of trochanteric fractures involving the femur. They are one of the most common fractures in old patients. They can involve both the greater and lesser trochanter and are a type of extracapsular fracture.
What is a comminuted hip fracture?
Fractures with multiple pieces and fracture lines are termed ”comminuted”. The more pieces, the less stable is the fracture pattern. Comminution may make fixation with a sliding hip screw and side plate more likely to fail.
What is an osteoporotic hip fracture?
A hip fracture is a break in the upper portion of the femur (thighbone). Most hip fractures occur in elderly patients whose bones have become weakened by osteoporosis. When a hip fracture occurs in a younger patient, it is typically the result of a high-energy event, such as a fall from a ladder or vehicle collision.
What is a intertrochanteric hip fracture?
Overview. An intertrochanteric fracture is a specific type of hip fracture. “Intertrochanteric” means “between the trochanters,” which are bony protrusions on the femur (thighbone). They’re the points where the muscles of the thigh and hip attach.
What is the pathophysiology of osteoporosis?
The hallmark of osteoporosis is a reduction in skeletal mass caused by an imbalance between bone resorption and bone formation. Under physiologic conditions, bone formation and resorption are in a fair balance. A change in either—that is, increased bone resorption or decreased bone formation—may result in osteoporosis.
How is osteoporotic bone different from regular bone?
When osteoporosis occurs, the holes and spaces in the honeycomb are much larger than in healthy bone. Osteoporotic bones have lost density or mass and contain abnormal tissue structure. As bones become less dense, they weaken and are more likely to break.
What is the intertrochanteric region of the hip?
The intertrochanteric area of the femur is distal to the femoral neck and proximal to the femoral shaft; it is the area of the femoral trochanters, the lesser and the greater trochanters (see the image below).
What is the intertrochanteric crest?
The intertrochanteric crest, not to be confused with the intertrochanteric line, is a ridge on the femur located at the posterior aspect of the junction between the femoral neck and shaft, traversing between the greater and lesser trochanters. It is the posterior point of attachment for the joint capsule of the hip.
What are the signs of a broken hip?
Signs of a broken hip may include inability to put weight on the leg that corresponds to the side of the hip that has become fractured, stiffness, bruising, swelling in the hip area, severe hip or groin pain, and the inability to move immediately following a fall. In other cases, one leg may be shorter than the other,…
What is the best treatment for a broken hip?
A hip fracture is most often treated using orthopedic surgery, a type of surgery focused on the bones of the body.
What are the types of broken hip?
A broken hip (also called hip fracture) is a fracture that occurs in the femur (thigh bone) and often requires surgery. There are three most common types of broken hips, based on the location of the fissure in the femur: Femoral neck, Intertrochanteric hip and Intracapsular fracture.
What is hip repair surgery?
Hip revision surgery is performed to repair an artificial hip joint (prosthesis) that has been damaged over time due to an infection, or due to normal wear and tear of the prosthetic hip. Revision surgery helps to correct the problem so the hip can function normally again.