Face Off: Intertrochanteric Hip Fracture Treatment

PRO: Why I use compression hip screws
Douglas W. Lundy, MD, FACS

As orthopaedic surgeons, we are fascinated by the “new and improved.” We are drawn to the newest ideas like moths to a flame. This characteristic pervades the orthopaedic community, and those who wish to sell us things know it all too well.

Despite the fact that compression hip screws have been the mainstay and gold standard in the fixation of intertrochanteric femoral fractures, orthopaedic surgeons have extensively left this faithful device in search of something newer. According to one study, the use of intramedullary nails used to stabilize intertrochanteric femoral fractures by orthopaedic surgeons sitting for the American Board of Orthopaedic Surgery Part II exam increased from 3 percent in 1999 to 67 percent in 2006. This is a dramatic shift in treatment over a relatively short period of time.

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