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Selected Instructional Course Lecture   |    
Intertrochanteric Fractures: Ten Tips to Improve Results
George J. Haidukewych, MD1
1 Florida Orthopaedic Institute, 13020 Telecom Parkway, Temple Terrace, FL 33637. E-mail address: DocGJH@aol.com
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Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in March 2010 in Instructional Course Lectures, Volume 59. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
Disclosure: The author did not receive any outside funding or grants in support of his research for or preparation of this work. The author or a member of his immediate family received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from a commercial entity (DePuy Trauma). Also, a commercial entity (DePuy Trauma) paid or directed in any one year, or agreed to pay or direct, benefits in excess of $10,000 to a research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the author, or a member of his immediate family, is affiliated or associated.
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons

The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2009 Mar 01;91(3):712-719
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Extract

Intertrochanteric fractures are becoming increasingly common as our population ages. These fractures typically occur in frail patients with multiple medical comorbidities and often result in the end of the patient's functional independence. The all-too-often problematic dispositions and prolonged hospital stays result in a tremendous cost to patients, their families, and society. Effective treatment strategies that result in high rates of union of these fractures and low rates of complications are important. As orthopaedic surgeons, we cannot control the quality of the bone, patient compliance, or comorbidities, but we should be able to minimize the morbidity associated with the fracture. This requires choosing the appropriate fixation device for the fracture pattern, recognizing the problem fracture patterns, and performing accurate reductions with ideal implant placement while being conscious of implant costs. If we treat these fractures expeditiously, minimize fixation failures, and recognize underlying osteoporosis and treat it accordingly, we will improve our patients' outcomes and minimize the cost of treating them. The purpose of this review is to summarize ten simple tips to help minimize failures and improve outcomes when treating intertrochanteric fractures of the hip.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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