Intertrochateric hip fractures

A previously healthy 63-year-old female fell from a step ladder and sustained a left-sided hip fracture.

She arrived through our emergency department and radiographs revealed a minimally displaced unstable intertrochateric hip fracture. Open reduction and internal fixation was performed with placement of a trochanteric intramedullary nail.

She returned for regular follow-up visits and radiographs showed progressive fracture healing. At the time of her latest follow-up visit, 6 months following fracture surgery she presented with excellent radiographic and clinical results including a healed hip fracture in excellent alignment, preservation of the hip joint space, resolution of pain, full range of motion and a return to pre-injury activities.

  • Figure A

    Figure A

    Anteroposterior (AP) and lateral radiographs revealing an unstable intertrochateric fracture.


  • Figure B

    Figure B

    AP and lateral radiographs 6 months following fracture surgery illustrating a healed intertrochateric hip fracture.



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David L. Helfet, MD

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New York Fracture Care

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David L. Helfet, MD 

Dean G. Lorich, MD

David S. Wellman, MD