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Intertrochanteric Femur Fracture Classification

 Stable intertrochanteric femur fracture image  Stable fracture
  • posteromedial cortex intact/minimal comminution
  • Treatment = 2-hole Intertrochanteric Femur Fracture SHS 27244.
  • Tip-apex distance shoulde be equal to or less than 25mm (tip apex distance = the sum of the distance from the tip of the lag screw to the apex of the femoral head on the AP and lateral Xrays) (Baumgaertner MR, JBJS 1995; 77:1058)
  • See also AO Classification.

 

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Unstable intertrochanteric femur fracture image

Unstable fracture

  • posteromedial cortex comminuted, lateral cortex disruption.
  • Treatment = Intertrochanteric Femur Fracture IMHS 27245. Generally with long unlocked nail, unless there is subtrochanteric extention.
  • Distal locking indicated for fractures with subtroch extention.
  • Increased failure/complications rate as compared to stable fractures.
  • See also AO Classification.

 

 

Return to Intertrochanteric Femur Fracture S72.143A 820.21

Reverse oblique intertrochanteric femur fracture image

Reverse oblique

 

 

 

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