Intertrochanteric hip fractures: an audit of surgical fixation technique and rates of revision
A Bilkhu, H Phillips, G Sisodia, KP Muralikuttan
Department of Trauma & Orthopaedics, Calderdale & Huddersfield NHS Trust
There remains ongoing debate on the best method to repair intertrochanteric femoral fractures.
NICE Guidance recommends the use of extra-medullary implants (e.g. sliding hip screw) for AO Types A1 and A2.
Retrospective review of all adult intertrochanteric fractures between 1st Jan 2007 to 31st May 2009: fractures blindly and independently classified according to AO classification.
250 of 311 patients were of Fracture type A1 or A2. Only 92 (36.8%) were fixed with a DHS.
No significant difference in post-operative mortality between groups (p>0.05)