title: Outcomes of trochanteric external fixation for geriatric inter-trochanteric hip fractures.
abstract: BACKGROUND
  Trochanteric fractures are a leading cause of disability among the elderly. Internal fixation is the gold standard treatment. However, it may be challenging in the high-risk population. We present our results using external fixator in trochanteric fractures in the elderly.
  
  
  METHODS
  During 2005-2012, twenty-three high-risk elderly patients (average age 70 years) with trochanteric fracture were managed using percutaneous external fixation (EF).
  
  
  RESULTS
  At one year follow-up, 86% returned to pre-fracture ambulatory status. Average time to fixator removal was 14 weeks. There were no cases of pin loosening, breakage, or penetration of femoral head.
  
  
  CONCLUSIONS
  Advantages of EF include avoidance of delay, use of local/regional anesthesia, and shorter duration of surgery, blood loss and hospital stay. EF is an acceptable alternative in this patient population, given the associated co-morbidities and especially due to limited resources in developing countries.
authors.affiliation: Department of Orthopedic Surgery, Faculty of Medicine, Ain Shams University, Cairo 11381, Egypt.
authors.forename: Ahmed H
authors.initials: AH
authors.lastname: Yousry
authors.affiliation: Department of Orthopedic Surgery, Texas Tech University Health Sciences Center, El Paso, TX 79905, USA.
authors.forename: Pranit N
authors.initials: PN
authors.lastname: Chotai
authors.affiliation: Department of Orthopedic Surgery, Faculty of Medicine, Ain Shams University, Cairo 11381, Egypt.
authors.forename: Sherif A
authors.initials: SA
authors.lastname: El Ghazaly
authors.affiliation: Department of Orthopedic Surgery, Faculty of Medicine, Ain Shams University, Cairo 11381, Egypt.
authors.forename: Tamer A
authors.initials: TA
authors.lastname: Fayyad
authors.affiliation: Department of Orthopedic Surgery, Texas Tech University Health Sciences Center, El Paso, TX 79905, USA.
authors.forename: Amr A
authors.initials: AA
authors.lastname: Abdelgawad
keywords: External fixation; Geriatric hip fracture; Trochanteric fracture