Intertrochanteric femur fractures are typically osteoporotic fractures and are more common in elderly people. they are more commonly result of insufficient trauma. Usual history is that of fall from standing height. Slippery floors or bathrooms are added factors.
Image 1 – Xray of Comminuted Intertrochanteric Femur Fracture
The following image is an x-ray of intertrochanteric femur fracture in 55 years old male who sustained injury when he fell from stairs.
The x-ray shows comminuted intertrochanteric femur fracture on the right side.
Image 2 – Anteroposterior View of Intertrochanteric Femur Fracture
The x-ray shows a one-month-old fracture in 78 years old lady. The lady presented to us one month after the injury. An attempt at repair is visible in form of the callus.
Intertrochanteric Fracture of FemurThe aim of treatment in these elderly patients is to stabilize the fracture surgically and make the patient upright so that complications of recumbency are avoided.
this patient was successfully operated with a dynamic hip screw.
Image 3- Xray Pelvis Showing Intertrochanteric Fracture of Right Femur
Intertrochanteric fractures are very common fractures in old age but are also found in young people. Whereas the fall is the most common cause in old patients, motor vehicle accidents are the main cause in young patients.
The above x-ray is of 65 years old male who slipped and fell on the ground. This is an x-ray of pelvis and fracture is visible on the right femur.
Image 4 – Intertrochanteric Femur Fracture With Dynamic Hip Screw In Malposition
This x-ray shows a malpositioned lag screw of the dynamic hip screw assembly.
Note that screw is almost out of the femoral head shadow.
Good thing is that fracture has united in spite of that.
Image 5 – United Intertrochanteric Fracture With Dynamic Hip Screw In Situ
Xray of 60 years old female who was operated for intertrochanteric femur fracture on the right side. The x-ray is after four months of surgery.
The x-ray shows a united fracture and a dynamic hip screw in situ, though the full profile of the implant is not visible.
Image 6 – Xray of Three Months Old Ununited Intertrochanteric Femur Fracture
Eighty-six years old man with three months old injury that resulted in intertrochanteric femur fracture. Came for medical advice because of limp.
Latest x-ray done revealed following.
The xray shows an ununited intertrochanteric femur fracture. On closer scrutiny, you can visualize a probably united lesser trochanter forming an arm over which the upper ununited fragment is resting.
The patient not being interested in any further treatment was advised to walk with support.
Image 7 – Xray of Old Ununited Peritrochantric Fracture
There was a history of injury to hip about ten years back. The x-ray revealed an ununited fracture and resorption of the neck along with sclerosis of fracture ends.
Old Ununited Peritrochanteric FractureI have used term peritrochanteric because it seems to involve both- neck of femur and trochanteric area.
Image 8 – Xray of Intertrochanteric Femur Fracture
Xray of intertrochanteric femur fracture in 56 years old male
Image 3 – Fracture Intertrochanteric Region Femur As Seen In C-arm Image Intensifier
Following image is taken from C-arm image intensifier memory and shows an intertrochanteric femur fracture.
Intertrochanteric Fracture of FemurThere is no associated information available with the file.
Image 10 – United Intertrochanteric Fracture With DHS in situ with Lag Screw Protrusion
Xray of 83 years old lady with intertrochanteric femur fracture fixed with dynamic hip screw assembly and showing protrusion of the lag screw beyond the head margin.
The x-ray is done after 1.5 years of surgery and fracture is well united. Osteoporosis of the bones is quite visible.
The lag screw is the thick screw in the head. If you note carefully, it is protruding beyond the margins of the head.
The assembly was removed because the patient had pain on weight bearing.
Image 11 – Broken Fixed Angle Blade Plate In Intertrochanteric Fracture
The following x-ray shows a broken fixed angle blade plate in a case of intertrochanteric fracture.
- Broken Angle Blade Plate After Hip Surgery
Probably, the fixed angle blade plate was done as a revision surgery because there are broken screws in addition to screws that are holding the plate.
There was no patient information attached to this file.
Note Fixed angle blade plate was extensively used earlier for treatment of intertrochanteric fractures but with better gadgets available now, it is rarely used.