A Current Concept Review for the Use of External Fixators in Elderly Patients with Intertrochanteric Fracture

Alireza Moharrami; Mir Mansour Moazen Jamshidi; Soroush Alaeddini; Mazaher Ebrahimian; Amir Reza Mafi

doi:10.18502/jost.v9i2.12622

Alireza Moharrami Resident, Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran
Mir Mansour Moazen Jamshidi Associate Professor, Department of Orthopedics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
Soroush Alaeddini Student of Medicine, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
Mazaher Ebrahimian Resident, Department of Orthopedics, Sina Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Amir Reza Mafi General Practitioner, Tehran University of Medical Sciences, Tehran, Iran

DOI: https://doi.org/10.18502/jost.v9i2.12622

Keywords: External Fixation; Intertrochanteric Fracture; Hip

Abstract

Intertrochanteric (IT) fractures are responsible for almost half of the fractures in the elderly. The financial burdens of IT fractures are considerable, not only because of their influence on morbidity and mortality but also because they might lead to functional limitation, alleviated quality of life, and a limited possibility to work. There are several methods of fixations for IT fractures, such as cephalomedullary nailing, dynamic hip screw (DHS), proximal femur plate, and external fixator. Most of the patients with this fracture were unsuitable for anesthesia and surgical procedure. The external fixator is a fast, non-invasive, and bloodless method for fixation which would be performed with light sedation. In the present study, we reviewed recent literature regarding external fixators for IT fractures.