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Related Concept Videos

Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Related Experiment Video

Updated: May 5, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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[Trochanteric fractures - general overview].

J Bartoníček, A Chochola, V Vaněček

    Rozhledy V Chirurgii : Mesicnik Ceskoslovenske Chirurgicke Spolecnosti
    |December 4, 2013
    PubMed
    Summary

    Successful treatment of trochanteric fractures relies on careful implant selection and surgical technique. Proper evaluation of fracture type and biomechanics ensures optimal outcomes, minimizing implant failure which often stems from surgical error.

    Area of Science:

    • Orthopedic Surgery
    • Traumatology
    • Biomedical Engineering

    Background:

    • Trochanteric fractures are common, especially in elderly populations.
    • Effective treatment requires careful consideration of implant choice and surgical approach.
    • Patient outcomes are significantly influenced by the quality of surgical intervention.

    Purpose of the Study:

    • To highlight the critical factors for successful surgical treatment of trochanteric fractures.
    • To emphasize the importance of accurate fracture assessment and biomechanical analysis.
    • To underscore the surgeon's role in preventing implant failure.

    Main Methods:

    • Review of current implant selection criteria for trochanteric fractures.
    • Analysis of biomechanical principles relevant to fracture fixation.

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  • Evaluation of surgical techniques and their impact on outcomes.
  • Correlation of implant failure with surgical execution.

    • Main Results:

    • Current implant options offer successful treatment for most trochanteric fractures.
    • Accurate fracture evaluation and understanding biomechanics are essential for implant selection.
    • Surgical quality is paramount, as most implant failures are attributable to the surgeon.
    • Prioritizing meticulous surgical technique over speed leads to better patient results.

    Conclusions:

    • Optimal treatment of trochanteric fractures depends on precise fracture assessment and biomechanical understanding.
    • Surgeon expertise and meticulous operative technique are the most critical factors for successful outcomes and avoiding implant failure.
    • The selection of appropriate implants and devices, combined with high-quality surgery, ensures successful treatment for nearly all trochanteric fractures.