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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2003 October;54(5):345-55
Current concepts in the management of low-energy trochanteric femur fractures A review
Stern R., Hoffmeyer P.
Orthopaedic Service University Hospital of Geneva, Geneva, Switzerland
Hip fractures in the elderly are a burden to both society and the individual and are associated with substantial morbidity and cost. Almost all agree that surgical intervention is the standard of care, but despite considerable research the optimal method of treatment for trochanteric fractures continues to be debated. While most surgeons favor a sliding compression hip screw for the vast majority of pertrochanteric fractures, increasing numbers of reports state that an intramedullary device is more advantageous, particularly for the unstable types. For intertrochanteric types (also called reverse intertrochanteric, oblique, or transverse), most agree that the sliding hip screw is unsatisfactory and favor either a fixed angle device or an intramedullary nail. This article provides a review of the published literature relevant to this topic.