Femoral intertrochanteric fracture

Femoral intertrochanteric fractures mostly occur at 66 to 76 years of age. The incidence is three times higher in women than in men. Griffin and Boyd's study of 300 cases of femoral intertrochanteric fractures shows that the mortality rate of patients within 3 months after injury is 16.7%, which is about twice the mortality rate of femoral neck fracture patients. The reason for such a high mortality rate is that the patient is older; the trauma that caused the fracture is heavier; the blood loss after the fracture is large; the treatment is relatively large. It can be seen that the intertrochanteric fracture is a more serious fracture. For the treatment of femoral intertrochanteric fractures, conservative treatment can be effective if only fracture healing is considered. However, due to the higher mortality rate of elderly patients, limb movement has been restricted for a long time in conservative treatment, and there are more fracture complications. Therefore, in recent years, it has been agreed that the principle of treatment of femoral intertrochanteric fractures is the strong internal fixation of the fracture and the early postoperative movement of the patient. Horowitz reports that among patients with intertrochanteric fractures, the mortality rate in the traction treatment group was 34.6%, while the mortality rate in the internal fixation group was 17.5%. Due to the improvement of surgical technology and the continuous development of internal fixation materials, the incidence of surgical complications has been greatly reduced. Surgical treatment of intertrochanteric fractures has become the preferred method.

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