Intertrochanteric Femur Fracture Classification | eORIF

$Stable intertrochanteric femur fracture image$

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.

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$Reverse oblique intertrochanteric femur fracture image$

Reverse oblique

5% of all IT/subtrochanteric fxs)
Treatment = Intertrochanteric Femur Fracture IMHS 27245 with distal locking are indicated or 95 degree fixed-angle device. (Haidukewych JBJS 2001;83A:643)
Sliding hip screw is associated with many complications and failures.
See also AO Classification.

Return to Intertrochanteric Femur Fracture S72.143A 820.21