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Koh, Yu, Lee, Lee, Kim, and Shim: Treatment of Intertrochanteric Fractures of Femur in Elderly Patients over 65 Years Old
Original Article

Journal of the Korean Society of Fractures 1995; 8(1): 46-53.

Published online: 7 July 2016

DOI: https://doi.org/10.12671/jksf.1995.8.1.46

Treatment of Intertrochanteric Fractures of Femur in Elderly Patients over 65 Years Old

Young-Sun Koh, Chang-Moo Yu, Suk-Ha Lee, Sung-Jong Lee, Taik-Sun Kim, Jae-lk Shim

Department of Orthopaedic Surgery, Korea Veterans Horpital, Seoul, Korea.

Copyright © The Korean Fracture Society

Abstract

The incidence of intertrochanteric fracture of femur is increasing because of increasing number of old-aged people.
The goal in the treatment of an elderly patient with an intertrochanteric fracture is to restore the patient to his prefracture activity as soon as possible.
The purpose of this report is to review of the difficulty of treating the intertrochanteric fracture of femur in elderly patients.
The authors treated 213 cases of intertrochanteric fracture from Jan,1980 to Dec.1993.
We analyzed the clinical result of 73 cases intertrochanteric fracture with minimum 1 year follow up retrospectively.
The results were as follows.
1. The degrees of osteoporosis by Singh index were 27 cases in Grade III, 22 Cases in Grade II,14 cases in grade IV,5 cases in Grade I and 5 cases in Grade V.
2. By Tronzo classification of fracture, the most common type was 38 cases in type III, 17 cases in type II and 8 casesintype V.
3. The operation method were compression hip screw(38 cases), Jewett nail (12 cases), Ender nail(17 cases), multiple pinning (5 cases), and primary kerniarthoplasty(3 cases).
4. Average bony union time was 13.2 weeks in compression hip screw group, 14.5 weeks in Jewett nail group,14.7 weeks in Ender nail group and 15.4 weeks in multiple pinning group.

Keywords: Femur intertrochanteric fracture, Elderly patients

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