Hip Arthroplasty in Intertrochanteric Fractures: Is It Acceptable Treatment?

Young Chang Kim; Ji Wan Kim; Jae Young Lim

doi:10.12671/jkfs.2014.27.1.105

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Kim, Kim, and Lim: Hip Arthroplasty in Intertrochanteric Fractures: Is It Acceptable Treatment?

Review Article

Journal of the Korean Fracture Society 2014; 27(1): 105-112.

Published online: 17 January 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.1.105

Hip Arthroplasty in Intertrochanteric Fractures: Is It Acceptable Treatment?

Young Chang Kim, M.D., Ji Wan Kim, M.D., Jae Young Lim, M.D.

Department of Orthopaedic Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Address reprint requests to: Young Chang Kim, M.D. Department of Orthopaedic Surgery, Haeundae Paik Hospital, 875 Haeun-daero, Haeundae-gu, Busan 612-862, Korea. Tel: 82-51-797-0990, Fax: 82-51-797-0991, oskimyc@inje.ac.kr

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figures and Tables

Fig. 1

Classification of intertrochanteric fractures (AO/OTA classification).

Fig. 2

(A) Intertrochanteric fracture with lateral wall fracture fixated by dynamic compression screw. (B) Failure of internal fixation.

Fig. 3

Serial hip anteroposterior and axial X-rays of a 59-year-old female. (A) Failure of internal fixation (dynamic compression screw) caused by malreduction. (B) Revision osteosynthesis using a dynamic compression screw and a trochanteric stabilizing plate. (C) At 18 months after revision, the fracture was well united.

Fig. 4

(A) Unstable intertrochanteric fracture in an 82-year-old male (AO classification 31-A2.2). (B) Immediate postoperative x-rays (antero-posterior view & lateral view). Unsatisfactory reduction and incorrect position of blade. (C) Cut out of the blade. (D) A revisional bipolar hemiarthroplasty was performed.

Fig. 5

Nonunion of the greater trochanter after bipolar hemiarthroplasty. (A) Preoperative left hip anteroposterior (AP) x-ray of a 95-year-old female. (B) Immediate postoperative left hip AP. (C) Postoperative four-month left hip AP showing the displaced greater trochanter.

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