The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures
Introduction: The Intertrochanteric fracture is a common hip trauma encountered in elderly patients. There is a lack of general agreement regarding its surgical management and choice of implant. Purpose of this study to conclude the final decision matrix regarding surgical management of intertroch...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Orthopaedic Association
2023-11-01
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| Series: | Malaysian Orthopaedic Journal |
| Subjects: | |
| Online Access: | https://www.morthoj.org/2023/v17n3/intertrochanteric-fractures.pdf |
| _version_ | 1827397836366413824 |
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| author | Patel VJ Patel NB Tank PM Upadhyay KA Ashwin KK |
| author_facet | Patel VJ Patel NB Tank PM Upadhyay KA Ashwin KK |
| author_sort | Patel VJ |
| collection | DOAJ |
| description | Introduction:
The Intertrochanteric fracture is a common hip trauma encountered in elderly patients. There is a lack of general agreement regarding its surgical management and choice of implant. Purpose of this study to conclude the final decision matrix regarding surgical management of intertrochanteric fractures based on parameters assessed on plain radiographs and CT scan.
Materials and methods:
We have retrospectively evaluated 55 patients with intertrochanteric fractures presented to our institute after informed consent with radiographs and CT scans between July 2017 to July 2018. Assessment of various parameters regarding fracture geometry and classification as well as measurement was done.
Results:
Mean lateral wall thickness in present study was 20.76mm. Incidence of coronal fragments was 90.9% and absence of coronal fragment in 5 patients. We noted the cases with anterior comminution had also a posterior comminution rendered the fracture unstable in almost 20 % cases.
Conclusion:
Better understanding of fracture geometry by combined used of radiograph and CT scan enhanced preoperative planning, choice of suitable implant, helps in reduction manoeuvre and improving quality of osteosynthesis. |
| first_indexed | 2024-03-08T19:17:29Z |
| format | Article |
| id | doaj.art-693336ecbb4247ecbcbb061fd410ef1d |
| institution | Directory Open Access Journal |
| issn | 1985-2533 2232-111X |
| language | English |
| last_indexed | 2024-03-08T19:17:29Z |
| publishDate | 2023-11-01 |
| publisher | Malaysian Orthopaedic Association |
| record_format | Article |
| series | Malaysian Orthopaedic Journal |
| spelling | doaj.art-693336ecbb4247ecbcbb061fd410ef1d2023-12-27T05:12:28ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2023-11-01173172510.5704/MOJ.2311.004The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures Patel VJ0Patel NB1Tank PM2Upadhyay KA3Ashwin KK4Department of Orthopaedics, Narendra Modi Medical College, Ahmedabad, India Department of Orthopaedics, Smt. NHL Municipal Medical College, Ahmedabad, India Department of Orthopaedics, Smt. NHL Municipal Medical College, Ahmedabad, India Department of Orthopaedics, Smt. NHL Municipal Medical College, Ahmedabad, India Department of Orthopaedics, Smt. NHL Municipal Medical College, Ahmedabad, India Introduction: The Intertrochanteric fracture is a common hip trauma encountered in elderly patients. There is a lack of general agreement regarding its surgical management and choice of implant. Purpose of this study to conclude the final decision matrix regarding surgical management of intertrochanteric fractures based on parameters assessed on plain radiographs and CT scan. Materials and methods: We have retrospectively evaluated 55 patients with intertrochanteric fractures presented to our institute after informed consent with radiographs and CT scans between July 2017 to July 2018. Assessment of various parameters regarding fracture geometry and classification as well as measurement was done. Results: Mean lateral wall thickness in present study was 20.76mm. Incidence of coronal fragments was 90.9% and absence of coronal fragment in 5 patients. We noted the cases with anterior comminution had also a posterior comminution rendered the fracture unstable in almost 20 % cases. Conclusion: Better understanding of fracture geometry by combined used of radiograph and CT scan enhanced preoperative planning, choice of suitable implant, helps in reduction manoeuvre and improving quality of osteosynthesis. https://www.morthoj.org/2023/v17n3/intertrochanteric-fractures.pdfintertrochanteric fractureradiographcomputed tomographylateral wall |
| spellingShingle | Patel VJ Patel NB Tank PM Upadhyay KA Ashwin KK The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures Malaysian Orthopaedic Journal intertrochanteric fracture radiograph computed tomography lateral wall |
| title | The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures |
| title_full | The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures |
| title_fullStr | The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures |
| title_full_unstemmed | The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures |
| title_short | The Role of Computed Tomography and Radiographs in the Management of Intertrochanteric Fractures |
| title_sort | role of computed tomography and radiographs in the management of intertrochanteric fractures |
| topic | intertrochanteric fracture radiograph computed tomography lateral wall |
| url | https://www.morthoj.org/2023/v17n3/intertrochanteric-fractures.pdf |
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