[Subtrochanteric femoral fractures]

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• Subtrochanteric femoral fractures represent 10-15% of proximal femoral fractures.
• These fractures predominantly affect the elderly due to falls, but high-energy trauma can cause them in younger individuals.
• Clinical presentation includes pain and inability to bear weight on the affected limb.

Purpose of the Study:

• To outline the diagnostic and treatment strategies for subtrochanteric femoral fractures.
• To emphasize the importance of surgical intervention for fracture stability and patient recovery.

Main Methods:

• Diagnosis is confirmed using conventional X-rays (anterior-posterior and lateral views).
• Surgical treatment is the standard due to fracture instability.
• Intramedullary interlocking nails are the primary surgical implant, with extramedullary implants used for revisions.

Main Results:

• Surgical goals include anatomic reduction and stable fixation for immediate weight-bearing.
• Primary treatment typically involves intramedullary nails.
• Revision surgeries may utilize extramedullary implants.

Conclusions:

• Subtrochanteric femoral fractures necessitate surgical management for optimal outcomes.
• Early mobilization and respiratory exercises are crucial for preventing postoperative complications.