Update on the Management of Trochanteric Fractures of the Hip

Abstract

The trochanteric area of the femur is the region of the femoral metaphysis between the base of the femoral neck and the most distal level of the lesser trochanter. In elderly persons, this area of the femur, also variously called the extracapsular or pertrochanteric region of the femur, is typically affected by osteoporosis, reducing its structural strength, and in persons older than 65 years is subject to a high incidence of fracture. It is estimated that 238,000 hip fractures occur annually in the United States, and this figure could increase to 512,000 hip fractures per year by the year 2040. Trochanteric fractures represent more than half of these hip fractures, and in the geriatric population are among the most common injuries encountered by orthopaedic surgeons. This article reviews the pathophysiology and clinical presentation of trochanteric proximal femur fractures, and is intended to supplement and extend our previously published OKOJ article, "Trochanteric Proximal Femur Fractures."

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