How long does it take a greater trochanter fracture to heal?
Most trochanteric fractures are self-limiting and can be treated without surgical intervention if the displacement is less than 1 cm. However, the patient must not bear weight on the affected leg for up to a month. Many patients may take up to 3 months to return to normal physical activity.
Which is most common complication of trochanteric fracture?
Mechanical Failure of Internal Fixation. Mechanical complications of internal fixation of trochanteric fractures, particularly varus angulation, are the most frequent and troublesome complications of operative treatment.
What is trochanteric fracture?
A trochanteric fracture is a fracture involving the greater and/or lesser trochanters of the femur.
Is an intertrochanteric fracture an emergency?
Operative management of these fractures is considered urgent, not emergent. This allows the many comorbidities with which patients often present to be optimized preoperatively, to reduce morbidity and mortality.
Which is the best treatment for Trochanteric fractures?
Multiple active treatment comparisons indicate that PCCP fixation in trochanteric fractures in the elderly is the treatment of choice in terms of intra-operative outcomes and postoperative complications. Keywords: DHS; Gamma nail; LISS; Medoff sliding plate; PCCP; PFN; Trochanteric fractures.
Which is better PFN or PCCP for Trochanteric fractures?
Use of PFN showed the least intra-operative blood loss and shortest hospital stay. Multiple active treatment comparisons indicate that PCCP fixation in trochanteric fractures in the elderly is the treatment of choice in terms of intra-operative outcomes and postoperative complications.
Which is the shortest hospital stay for PFNA?
The lowest fluoroscopic time was with DHS with an UMD of 0.24 min (95% CI 0.16, 0.32), whereas the lowest blood loss and shortest hospital stay were with PFN with an UMD of 233.61 ml of blood loss (95% CI 153.17, 314.04) and 7.23 days of hospital stay (95% CI 7.15, 7.31) when compared to all other fixation methods.