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What Are The Complications Involved In Surgery For Inter Trochantric Fracture Femur?

Posted on Wed, 18 Feb 2015

Question: my mother is 62 years. She had cerebral attach 2 years back and bells palsy also. Now she is fine. She had thai bone femur fracture(Intertrochanteric hip fracture). She has been hospitalised and operation will be performed. Doctor is checking all aspect and currently her blood sugar, BP, pain is controlled. Some patch found on her chest xray. Antibiotic given for fracture pain and chest. Please advise on the operation method and complication involved if any. Is this a generic surgery and post OT recovery method.

Answered by Dr. Vaibhav Gandhi (1 hour later)

Brief Answer:
For inter trochantric fracture femur usually DHS [Dynamic hip screw] is use

Detailed Answer:
Hello,

Thanks for writing to us,

I have studied your case with diligence.

For inter trochantric fracture femur usually DHS [Dynamic hip screw] is used, newer closed nailing include PFN [PROXIMAL FEMORAL NAILING] or TFN.

Usually operative complication include blood loss, anaesthesia related complication, infection, malunion.

In DHS perfect reduction can be achieved, while PFN is closed nailing with early recovery and less morbidity.

Non weight bearing for few weeks is very important .And physiotherapy in form of CPM [continuous passive motion] can be started later.

She can walk with walker non weight bearing few days after surgery.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Vaibhav Gandhi (43 minutes later)

This uses plate also including screw? Aneathesia is required locally through spinal?
Below knee 7.5 kg weight traction given. Why is that required?

Answered by Dr. Vaibhav Gandhi (16 hours later)

Brief Answer:
DHS implant consist plate with screw and dynamic screw,

Detailed Answer:
Hello

DHS implant consist plate with screw and dynamic screw,

Spinal anaesthesia giving numbness to both lower limbs is preferred.

Traction is given for reduction in swelling and pain, till fitness for surgery is obtained.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you good health.

Take care

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju