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[Therapeutic management in trochanteric fractures]
N Georgescu1, O Alexa, T Cozma
1Universitatea de Medicină şi Farmacie Gr. T. Popa, Iaşi.
Summary
This study reviews 343 trochanteric fracture cases, finding surgery effective for most. Implant choice for trochanteric fractures depends on fracture type and patient factors.
Area of Science:
- Orthopaedic surgery
- Trauma management
Background:
- Trochanteric fractures are common in elderly patients.
- Effective management is crucial for patient mobility and outcomes.
Purpose of the Study:
- To analyze the management strategies for trochanteric fractures.
- To evaluate treatment outcomes based on fracture type, patient age, and biological status.
Main Methods:
- Retrospective analysis of 343 trochanteric fractures over 5 years.
- Comparison of non-operative (17.2%) and operative (82.8%) treatment methods.
- Evaluation of fixation implants: blade-plate, Ender nails, and dynamic hip screw (DHS).
Main Results:
- Surgical treatment was predominantly used (82.8%).
- Closed reduction was typically successful.
- Ender nails (45.4%) and condylar blade plates (44.7%) were the most common fixation methods.
Conclusions:
- Management of trochanteric fractures requires individualized treatment plans.
- Implant selection is guided by fracture characteristics and patient condition.
- Surgical intervention is the preferred approach for most trochanteric fractures.