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Implantology of Intertrochanteric Fractures

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Handbook of Orthopaedic Trauma Implantology

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Abstract

Hip fractures are the most significant public health concern facing orthopaedic surgeons across the globe. The majority of hip fractures in the elderly are low-energy fractures owing to longevity and osteoporosis. Their treatment occupies an increasing proportion of the health care budget. The purpose of treatment is to restore function with as few surgical and medical consequences as feasible. Successful treatment of trochanteric fractures depends on reduction and secure fixation. In the last 70 years, several implants have been developed for the treatment of intertrochanteric fractures of the hip, as well as modifications in implant design to ensure stable fixation and early mobility. With the introduction of science and technology and the improvements in the designs of implant, there is increasing acceptance of intramedullary devices in preference to the sliding hip screw (SHS) for the treatment of intertrochanteric fractures despite little good quality evidence to support their use in most fractures. However, there is a consensus among orthopaedic surgeons worldwide that extramedullary implants are used for stable femoral fractures. This chapter describes several implant designs and their benefits and drawbacks, from basic nail plates to advanced intramedullary implant systems.

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Author information

Authors and Affiliations

  1. Gadegone Orthopaedic And Trauma Care Hospital, Chandrapur, India

    Wasudeo Gadegone

  2. Iyer Orthopaedic Centre, Solapur, Maharashtra, India

    B. Shivshankar

Authors
  1. Wasudeo Gadegone
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  2. B. Shivshankar
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Corresponding author

Correspondence to Wasudeo Gadegone .

Editor information

Editors and Affiliations

  1. NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

Section Editor information

  1. Columbia Asia Hospital, Kolkata, West Bengal, India

    Saumitra Misra

  2. Columbia Asia Hospital, Kolkata, West Bengal, India

    Rajiv Chatterjee

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Gadegone, W., Shivshankar, B. (2023). Implantology of Intertrochanteric Fractures. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-19-7540-0_79

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  • DOI: https://doi.org/10.1007/978-981-19-7540-0_79

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7539-4

  • Online ISBN: 978-981-19-7540-0

  • eBook Packages: MedicineReference Module Medicine

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