title: The role of total hip replacement in intertrochanteric fractures of the femur.
abstract: Total hip replacement is rarely used in the treatment of acute intertrochanteric fractures of the femur. Pathologic fractures with involvement of the femoral head and/or periacetabular pelvis may represent one such indication; rheumatoid arthritis with or without radiographic involvement of the joint space or end-stage osteoarthritis with substantial hip symptoms before fracture may represent other indications. Total hip replacement is mainly reserved for the treatment of complications such as nonunion or avascular necrosis of the femoral head.
authors.affiliation: Department of Surgery, Division of Orthopaedic Surgery, University of Toronto, Toronto, Toronto, Ontario, Canada. waddellj@smh.toronto.on.ca
authors.forename: James P
authors.initials: JP
authors.lastname: Waddell
authors.forename: Jane
authors.initials: J
authors.lastname: Morton
authors.forename: Emil H
authors.initials: EH
authors.lastname: Schemitsch
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D019644:Arthroplasty, Replacement, Hip / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D017102:Fracture Healing / Q000502:physiology; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D006622:Hip Prosthesis; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009864:Ontario; D011446:Prospective Studies; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D020127:Recovery of Function; D018570:Risk Assessment; D012494:Sampling Studies; D012737:Sex Factors; D016896:Treatment Outcome