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Volume 12 Issue 2 ( April- June) 2023

Original Articles

Clinical profile of patients with intertrochanteric fractures admitted at a tertiary care hospital
Dr. Ramakrishna Kaklavaram, Dr. Harikrishna N, Dr. Prakash Savakkanavar

Inter trochanteric fractures are fractures of proximal femur where in the main fracture line is along a line between greater trochanter and lesser trochanter. Usually, intertrochanteric fractures are due to a fall and the force involved is both direct and indirect. Direct injury is a direct blow or force acting over the trochanteric region either due to a fall on to the side or a fastmoving object or vehicle’s impact over the area. A total of 49 cases of intertrochanteric fractures that were treated at Government hospital, Medical College were selected for the study. Study subjects were selected from those who attended orthopaedic outpatient department with history of fall/RTA and other modes of injury, with complaints of severe pain in the hip region and inability to walk after the injury. After confirming the diagnosis of intertrochanteric fracture by radiographs, the study subjects were explained about the fracture and the method of surgical treatment. The mode of injury was in majority due to fall totaling up to 37 patients (75.51%) and RTA accounting for 12 patients (24.49%). There were associated injuries in 6 of the patients (12.24%), where 3 patients (6.12%) had head injury, the rest each one had clavicle fracture, humerus fracture and rib fracture respectively. The classification used in this study was Boyd and Griffin classification of intertrochanteric fractures. 24 patients had type II fractures (48.98%), 18 patients had type I (36.73%) and 7 of them had type III fractures (14.28%).

 
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