What is a subtrochanteric femur fracture?

Subtrochanteric femoral fractures are fractures of the proximal femur that may extend proximally into the piriformis fossa or distally into the isthmus of the femur. The proximal extension of the fracture varies and may include fracture patterns combined with intertrochanteric and femoral neck fractures.

Is a subtrochanteric femur fracture a hip fracture?

Hip fractures can occur either due to a break in the femoral neck, in the area between the greater and lesser trochanter or below the lesser trochanter. Subtrochanteric hip fracture is a break between the lesser trochanter and the area approximately 5 centimeters below the lesser trochanter.

Where is a subtrochanteric femur fracture?

Subtrochanteric (ST) femur fractures are defined as fractures of the proximal femur that occur within 5 cm of the lesser trochanter. Overall, the incidence of these fractures has been estimated to be approximately 15–20 per 100,000 individuals.

What does Subtrochanteric mean?

: situated or occurring below a trochanter.

What three deformities are commonly seen in a subtrochanteric fracture?

Subtrochanteric fractures often are associated with intertrochanteric fractures. The strong gluteal and thigh muscles create a classic deformity. The proximal fragment is held in abduction, flexion, and external rotation. The gluteus medius and minimus attach at the greater trochanter and provide an abduction force.

What is a subtrochanteric osteotomy?

Subtrochanteric osteotomy of the femur for flexion adduction deformity of an ankylosed hip is a common and widely used corrective operative procedure. It has been our experience that most methods commonly in use do not allow accurate control of the distal fragment.

How long does a dynamic hip screw last?

No post operative precautions that come with a total hip replacement are needed. Faster surgery than a total hip replacement means less time under anaesthetic. The fixation can last a lifetime- unlike a total hip replacement.

How serious is a femur fracture?

A fractured femur is an emergency that can in some cases be life threatening. Seek immediate medical care (call 911) if you, or someone you are with, have any of these life-threatening symptoms including: Confusion or loss of consciousness for even a brief moment. Heavy or uncontrollable bleeding.

What is femoral shortening osteotomy?

Subtrochanteric femoral shortening osteotomy is a crucial procedure to prevent nerve injury in total hip arthroplasty for severe developmental dysplasia of the hip. Transverse osteotomy was first applied, and other modified methods have also been reported.

How long does it take to recover from a dynamic hip screw?

Most people are able to return to work 4 weeks to 4 months after surgery. But it may take 6 months to 1 year for you to fully recover. Some people, especially older people, are never able to move quite as well as they used to.

Are dynamic hip screws removed?

Dynamic hip screw implants are extracted by removing the side plate and compression screws. Occasionally, ingrown bone will prevent easy plate removal.