Surgical management of hip fractures: an evidence-based review of the literature. II: intertrochanteric fractures.
Treatment of intertrochanteric hip fracture is based on patient medical condition, preexisting degenerative arthritis, bone quality, and the biomechanics of the fracture configuration. A critical review of the evidence-based literature demonstrates a preference for surgical fixation in patients who are medically stable. Stable fractures can be successfully treated with plate-and-screw implants and with intramedullary devices. Although unstable fractures may theoretically benefit from load-sharing intramedullary implants, this result has not been demonstrated in the current evidence-based literature.
Kaplan
Kevin
K
Kerlan Jobe Orthopaedic Clinic, Los Angeles, CA, USA.
Miyamoto
Ryan
R
Levine
Brett R
BR
Egol
Kenneth A
KA
Zuckerman
Joseph D
JD
D019644:Arthroplasty, Replacement, Hip; D001858:Bone Nails; D001860:Bone Plates; D001863:Bone Screws; D005264:Femoral Fractures / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D005594:Fracture Fixation, Intramedullary; D006620:Hip Fractures / Q000601:surgery* / Q000628:therapy; D006801:Humans; D014143:Traction; D016896:Treatment Outcome