Key result
Timely surgical treatment of osteoporotic pertrochanteric fractures prevents morbidity and mortality.
Why the study?
Does early surgical treatment prevent morbidity and mortality in patients with osteoporotic pertrochanteric fractures compared to conservative treatment?
Does early surgical treatment prevent morbidity and mortality in patients with osteoporotic pertrochanteric fractures compared to conservative treatment?
Early surgical intervention using specific internal fixation principles is recommended for osteoporotic pertrochanteric fractures to reduce morbidity and mortality.
Supports early surgery in osteoporotic pertrochanteric fractures; hypothesis-generating and requires randomized confirmation before practice change.
The management of osteoporotic pertrochanteric fracture femur is 2-fold. 1. Management and care of acute fractures and 2. simultaneous treatment of underlying disease. There is hardly any role of conservative treatment, however, patients with co-morbid conditions temporary treatment with traction till patient are fit for surgery may be performed. Surgical treatment of pertrochanteric fracture should be undertaken as early as possible. Following principles of Internal Fixation in Osteoporotic Fractures must be carried out depending upon the type of fracture. 1. Loadsharing 2. Impaction 3. Widebuttressing 4. Longsplintage 5. Augmentation 6. Elasticfixation 7. Shortening 8. Bonesubstitution-prosthesis. Timely surgery in these patients prevents not only morbidity but mortality also.
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SudhirS Babhulkar (2014) conducted a review in Osteoporotic pertrochanteric fractures. Surgical treatment was evaluated. Timely surgical treatment of osteoporotic pertrochanteric fractures prevents morbidity and mortality.
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