Publication:

Clinical profile of patients with intertrochanteric fractures of hip attending tertiary care hospital

Background The hip joint is ball and socket joint. In weight bearing the pressure forces are transmitted to the head and neck of the femur at an angle of 165 degrees to 170 degrees regardless of position of pelvis. The plane of the force coincides with strongly developed trabeculae that lie in the medial portion of the femoral neck and extend upwards through the supero-medial aspect of the femoral head. These trabeculae are in line with similar pressure trabeculae that start at acetabulum and run upwards and medial to sacro-iliac joint.

Methods After the patient with intertrochanteric fracture was admitted to our hospital, all the necessary clinical details were recorded in the proforma prepared for this study. After the completion of the hospital treatment patients were discharged and called for follow-up to outpatient department at regular intervals (6 weeks, 12 weeks, 6 months, 12 months) for clinical and radiological evaluation.

Results The most common age group was in the range of 60 to 70 yrs. Most common mode of injury was trivial fall in this series. 56% of the patients having type II BOYD and GRIFFIN fracture.

Conclusions Most common mode of injury in young patients is the road traffic accident while most common mode of injury in older patients is the simple fall (domestic fall).