INTERTROCHANTERIC FRACTURE

Question 1

DEFINE

Answer 1

FRACTURE IN INTERTROCHANTERIC REGION OF FEMUR INVOLVING GREATER OR LESSER TROCHANTER OR BOTH

Question 2

MECHANISM OF INJURY

Answer 2

HISTORY OF TRAUMA

Question 3

CLINICAL FEATURES

Answer 3

HISTORY OF TRAUMA
PAIN IN GROIN
SEVERE PAIN AND SWELLING
TENDERNESS OVER GREATER TROCHANTER WITH ECCHYMOSIS
SHORTENING OF LIMB
EXTERNALLY ROTATED

Question 4

X RAY

Answer 4

AP AND LATERAL
IF UNDISPLACED= SHOWS FRACTURE LINE
IF DISPLACED = COMMINUTION , AVULSION

Question 5

TREATMENT

Answer 5

AIM TO MAINTAIN NORMAL NECK SHAFT ANGLE
CONSERVATIVE =
SKIN TRACTION ( RUSSEL TRACTION ) OR SKELETAL TRACTION ( THOMAS SPLINT , BOHLER BRAUN SPLINT )
PRE OPERATIVE TRACTION GIVEN TILL PATIENT FIT FOR SURGERY
OPERATIVE TREATMENT = NEXT FLASHCARD

Question 6

OPERATIVE TREATMENT

Answer 6

FRACTURE REDUCED UNDER X RAY ,
FIXED WITH DHS, PFN
THOSE UNFIT FOR MAJOR OPERATION - ENDERS NAIL AND EXTERNAL FIXATION
FOR BADLY COMMINUTED FRACTURE - REPLACEMENT ARTHROPLASTY DONE.

Question 7

COMPLICATION

Answer 7

NON UNION
MALUNION
OSTEOARTHRITIS OF HIP

Question 8

ALSO READ PAGE 73 COMREHENSIVE