Prevalence of Intertrochanteric Fractures in Young Population with Hip Fractures Presented in Ghurki Trust Teaching Hospital Lahore

Abstract

Objective: The objective of this study was to determine prevalence of intertrochanteric fractures in young population with hip fractures presented in Ghurki Trust teaching hospital Lahore.

Methodology: A retrospective study was conducted at the Department of Orthopaedic& Spine Surgery from Jan, 2018 to April, 2022.About 295 patients presented in Ghurki teaching and trust hospital Lahore were taken as a part of this research out of which 94 patients were with intertrochanteric fractures. Those patients who had any kind of pathology or skeletal deformity were excluded from the study. Out of 94 patients, 60 were male while 34 patients were female. Fractures were treated surgically via DHS (dynamic hip screws).

Results: In 94 patients with intertrochanteric fractures, the mechanism of injury was usually due to slip and  fall (n= 15), fall from height (n= 19) and RTA (road traffic accidents) (n=60). The most common associated injury and fracture was of head injury and pelvis fracture respectively. RTA is most common mechanism of injury usually occurring in males (n= 40). The fractures were classified according to the BOYD’s classification. The intertrochanteric fractures showed complications like loosening of the nails or plates of DHS which occurred in patients having intertrochanteric fractures with SOF (shaft of femur) fractures.

Conclusion: The characteristics related to intertrochanteric fractures depends on the mechanism of injury. An in-depth knowledge of the fracture stability and various implants is necessary for decision-making in the therapy of intertrochanteric fractures. More data on functional outputs are required, particularly for people with high functioning.

Keywords:  Intertrochanteric fracture, trochanters, Prevalence, trauma, surgery, DHS, ORIF, nails, mechanism of injury