Title: Epidemology of Intertrochanteric Fractures of femur in a tertiary care centre in North India
Authors: Dr Irfan Ul Ashraf, Dr Abdul Ghani, Dr Mudasir Rashid, Dr Tanveer Ali
DOI: https://dx.doi.org/10.18535/jmscr/v7i6.82
Abstract
Introduction: Intertrochanteric fractures are seen with increasing frequency and severity as the life expectancy of our population increases. Intertrochanteric fracture accounts for nearly fifty percent of fractures of the hip. Intertrochanteric fractures in young are usually a result of high energy trauma.
Materials and Methods: Our study is a retrospective and prospective study conducted in Govt. Medical College Jammu from May 2017 to August 2018. Data recorded was analyzed in frequencies.
Results: Our study recorded 100 patients with intertrochanteric fractures of femur .Mean age of patients in our study was 74.77 years with Males affected more than females. Trivial fall being the most common mechanism of injury.
Conclusion: Intertrochanteric fractures are relatively common in our environment with higher incidence seen in elderly above 60 years of age. Skilled surgical fracture fixation, early mobilization of these patients reduces the morbidity and mortality rate.
Keywords: Intertrochanteric, hip, fractures.
References
- Alobaid A, Harry EJ,Elder GM Prospective randomized trial of two techniques of insertion of a standard dynamic fixation device. J orthop Trauma 18(4):207-212
- O; Orthopedic trauma association committee for coding and classification Fracture and dislocation Compendium; J Orthop trauma 1996; 10(1); 30-35.
- Bolhofer, Brett R, Russo, Paul R. Results of intertrochanteric fracture treated with a 135 degree sliding screw with a 2 holed side plate; Journal of orthopaedic trauma, jan 1999; 13(1): 5-8
- Boyd and griffin. Classification and treatment of trochanteric fractures; Arch surg ; 1949;58: 853-866.
- Dretakis OE, Margioris AN , Tsatsanis Dretakis KE ,Malliaraki N, Steriopoulus K .Elderly patients with trochanteric hip fractures have lower serum vitamin D3 levels compared to patients with cervical hip fractures. Arch Gerontol Geriatr 2011;52: e15-8.
- Evans E . The treatment of trochanteric fractures of femur J bj s 1949; 191:53-63.
- Greenspan SL, Myers ER ,Maitland LA,Kido TH,Krasnow MB, Hayes WC. Trochamteric bone mineral density is associated with type of hip fracture in the elderly.J Bone Miner Res 1994;9:1889-94.
- Grisso JA, Kelsey JL,Strom BL,Chiu GY, Maislin G,O’Brien LA, Hoffman S, Kaplan F.Risk factors for falls as a cause of hip fracture in women.The Northeast Hip Fracture study group.N Engl J Med.1991;324:1326-1331.
- Johnell O, Kanis JA, Oden A, Johansson H, de laet C, Delmas P , et al, Predictive value of BMD for hip and other fractures. J Bone MinerRes 2005:20:1185 -94.
- Kesmezacar H, Ayhan E, Unlu MC, Seker A, Karaca S. Predictors of mortality in elderly patients with an intertrochanteric or femoral neck fracture .J Trauma.2010;68 (1):153-158.
- Rockwood c, Green D, Bucholz R. Rockwood and Green’ fractures in adults, Philadelphia: Lippincott Williams & Wilkins;2006.
- Van Balen R, Steyerberg EW, Polder JJ, Ribbers TL, Habbema JD, Cools HJ. Hip fractures in elderly patients : outcomes for function, quality of life and type of residence Clin Orthop Relat Res.2110;390:232-243.