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Intertrochanteric fractures are a major cause of morbidity, functional dependence, and mortality in older adults. This study aimed to describe the epidemiological profile and clinical outcomes of patients with intertrochanteric fractures treated at a referral center. A descriptive, observational, cross-sectional study was conducted that included 216 patients aged ≥65 years treated between 2019 and 2024. Most patients were women (65.7%) and belonged to the oldest-old subgroup (50%). The predominant mechanism of injury was a fall from standing height, and most fractures corresponded to unstable Tronzo patterns (67.1%). Cephalomedullary nailing was the primary surgical treatment (≈88%). The median preoperative hospital stay was 5 days, and total hospital stay was 8 days. In-hospital mortality was low (2.3%). In conclusion, intertrochanteric fractures most frequently affected older women after low-energy falls and were predominantly unstable patterns treated with intramedullary fixation, consistent with international evidence. Optimizing preoperative timelines and strengthening preventive strategies in older adults are necessary to improve outcomes.
Miranda et al. (Mon,) studied this question.