Cookies on this website
We use cookies to ensure that we give you the best experience on our website. If you click 'Continue' we'll assume that you are happy to receive all cookies and you won't see this message again. Click 'Find out more' for information on how to change your cookie settings.

Incomplete intertrochanteric fractures do not extend across to the medial femoral cortex and are stable, without rotational deformity or shortening of the lower limb. The aim of our study was to establish whether they can be successfully managed conservatively. A total of 68 patients over a five-year period presented with a suspected fracture of the femoral neck and underwent an MRI scan for further assessment. From these, we retrospectively reviewed eight patients with normal plain radiographs but with an incomplete, intertrochanteric fracture on MRI scan. Five were managed conservatively and three operatively. The mean length of hospital stay was 16 days for the conservatively-treated group and 15 days for those who underwent surgery; this was not statistically significant (p > 0.5) and all patients were mobilised on discharge. Although five patients were readmitted at a mean of 3.2 years after discharge, none had progressed to a complete fracture. We believe that patients with incomplete intertrochanteric fractures should be considered for conservative treatment.

Original publication

DOI

10.1302/0301-620x.87b9.16558

Type

Journal article

Journal

The Journal of bone and joint surgery. British volume

Publication Date

09/2005

Volume

87

Pages

1253 - 1255

Addresses

Department of Radiology John Radcliffe Hospital, Headley Way, Oxford OX3 9DU, England, UK. pnumbers@yahoo.com

Keywords

Hip Joint, Humans, Femoral Neck Fractures, Magnetic Resonance Imaging, Treatment Outcome, Length of Stay, Fracture Fixation, Retrospective Studies, Aged, Middle Aged, Female, Male