Subtrochanteric fracture definition. Abstract Introduction: Subtrochanteric femur fractures remain challenging injuries to treat. 1055/b-0040-176975 34 Intertrochanteric, Pertrochanteric, and Subtrochanteric Femur FracturesThomas A. The fracture line passes between the two trochanters, above the lesser trochanter medially and below the crest of the vastus lateralis laterally. As patients age, their risk of sustaining unstable and comminuted pertrochanteric fractures increases [13]. These fractures generally occur in two patient age distributions: the young, high-energy, often polytraumatized population, and the elderly osteopenic population, typically resulting from a low-energy fall from a standing height. Exchange nailing C. The classification forms an important aspect in the management of subtrochanteric fractures. Understanding this classification is essential for healthcare professionals involved in the management of hip fractures, as it directly influences treatment strategies and patient May 24, 2025 · Intertrochanteric (IT) hip fractures are defined as extracapsular hip fractures. Historically, varus malreduc-tion has been linked to the development of nonunion; how-ever, there is a paucity of literature evaluating the impact of sagittal plane malreduction. Comorbidities are important in the geriatric population whereas accompanying injuries are most important in Definition Intertrochanteric fractures are classified by AO/OTA as 31A3. 1 “Peritrochanteric” Hip Fractures (Subtrochanteric and Intertrochanteric ) Treatment with Plate ORIF Laura Phieffer, MD The Ohio State University A subtrochanteric hip fracture is most frequently caused by minor trauma in elderly patients with weak bones, and by high-energy trauma in young people. Apr 9, 2007 · Treatment of Unstable Subtrochanteric Fractures: Cephalomedullary Nailing G. [1][2] A hip fracture is a break in the upper portion of the femur (thighbone). The B. motor vehicle collision, fall from height) Strong lateral or axial force directed through femur Low energy mechanism of fracture Low energy trauma typically seen in elderly or patients with osteoporotic (e. 1–4 Although several methods of Oct 28, 2018 · Subtrochanteric femur fractures are an uncommon injury in orthopedics, but when they are encountered they may present difficulties in management. May 1, 2016 · Subtrochanteric fractures take place in the proximal region of the femur, whose anatomical definition is difficult and controversial. We would like to show you a description here but the site won’t allow us. 9,42,46,49,50,56,57 The subtrochanteric area has been defined in various ways, but most commonly this term has been used to describe the area between the inferior border Jul 12, 2017 · Definition: Fracture in the proximal femur, between the lesser trochanter and greater trochanter. Jun 28, 2022 · Introduction Intramedullary (IM) nails are considered the ‘gold’ standard treatment for subtrochanteric femoral fractures. Classification Fractures in these regions can be classified as: intertrochanteric fracture pertrochanteric: intertrochanteric, involving both trochanters subt A review of the literature identified 15 different classification methods for subtrochanteric femoral fractures. Oct 10, 2025 · Subtrochanteric fractures have a high complication rate, including malalignment, nonunion, and implant failure. 5 cm below it, toward the femoral isthmus. Jun 4, 2025 · Subtrochanteric fractures are proximal femur fractures located within 5 cm of the lesser trochanter that may occur in low energy (elderly) or high energy (young patients) mechanisms. The long-term use of certain medicines, for example, medication for osteoporosis (a disease causing weak bones) and other bone diseases, increases the risk of subtrochanteric hip fractures. The leg is usually shortened and externally rotated. Nowadays, these fractures are mainly found in the geriatric population. They are usually associated with high-energy trauma in young adults or with lower-energy falls in the elderly. Abstract Subtrochanteric fractures constitute complex proximal femoral fractures. This type of fracture is significant because, despite the lack of displacement, it can still lead to considerable pain and functional impairment. Subtrochanteric fractures are relatively common, accounting for approximately 10% to 30% of all hip fractures [4, 16]. Subtrochanteric femur fractures have demanded special consideration in orthopaedic traumatology, given the high rate of complications associated with their management. Unlike a femoral neck fracture, the intertrochanteric region has good blood supply Key features of atypical femoral fractures, essential for the diagnosis, are: location in the subtrochanteric region and diaphysis; lack of trauma history and comminution; and a transverse or short oblique configuration. Most hip fractures occur in elderly patients whose bones have become weakened by osteoporosis. Like other fractures, they are divided into three groups subject to the severity and complex The Seinsheimer classification of subtrochanteric femur fracture type V is a critical framework in orthopedic medicine that categorizes a specific type of femoral fracture occurring in the subtrochanteric region. Knowledge of the local anatomy, added to the muscle deforming forces involved, will enable the assessment of the compensatory mechanisms that need to be Jul 1, 2010 · This study examines the previously used definitions of a subtrochanteric fracture and compares the different classification systems. Both femoral cortices are involved. Aims/objectives Our study . There was no agreement between the different Jun 10, 2025 · Pertrochanteric and subtrochanteric fractures are common types of proximal femoral fractures, particularly among the elderly population and trauma victims. The incidence and risk factors for re-operation in subtrochanteric fractures remain unclear. See Hip fractures for a general discussion. Fielding 1 proposed a definition that is still frequently used: the subtrochanteric region corresponds to the interval between the lesser trochanter and around 5–7. Their management has evolved substantially with the advent of cephalomedullary and lateral-entry intramedullary nails, improved reduction tools, and biologically friendly fixation strategies. falls) Atypical fractures Definition A nondisplaced subtrochanteric fracture means that the fracture line does not result in the bone fragments being misaligned or displaced. Learn the definition of 'subtrochanteric fracture'. Anatomically speaking, the subtrochanteric region of the femur is defined as the interval between the lesser trochanter and approximately 5 cm below it, toward the isthmus of the femur [1, 13]. Nov 30, 2016 · Introduction Subtrochanteric fractures occur in the proximal femur between the inferior aspect of the lesser trochanter and a distance extending about 5 cm distally. Fielding1 proposed a definition that is still frequently used: the subtrochanteric region corresponds to the interval between the lesser trochanter and around 5–7. The subtrochanteric fractures are defined as fractures within 5 [7]cm distal to the lesser trochanter. 1 Overall, the incidence of these frac-tures has been estimated to be approximately 15–20 per 100,000 individuals. 1). Adequate reduction and stable fixation are paramount when treating these fractures to optimize patient outcomes. Long-term use of certain medicines, such as bisphosphonates to treat osteoporosis (a disease-causing weak bones) and other bone diseases, increases the risk of subtrochanteric hip fractures. These fractures generally occur in two patient age distributions: the young, polytraumatized population from a high-energy injury, and the osteopenic older population, usually following a low-energy fall from a standing height. , Paget disease, fibrous dysplasia). Jan 9, 2015 · INTRODUCTION The treatment strategy for subtrochanteric femur fractures has evolved significantly over the past 2 decades. Subtrochanteric hip fracture treatment is offered at New England Orthopedic Surgeons in East Longmeadow, Springfield and Chicopee, MA. Aug 28, 2016 · Subtrochanteric femur fractures are much less common than hip or shaft fractures. The subtrochanteric region of the femur is an area of high compressive stresses medially along the lesser trochanter and calcar and correspondingly high distraction forces laterally along the greater We would like to show you a description here but the site won’t allow us. Blood loss may be extensive - more than with a femoral neck or other trochanteric fracture - with the Significance: Understanding the pathoanatomy of hip fractures and the biomechanics of surgical fixation constructs is critical for successful treatment. Comorbidities are … Mar 22, 2020 · Nowadays, subtrochanteric femur fractures (SFF) represent an important orthopedic problem to treat due to instability of the fragments, malunion and mechanical complications. They are different from proximal femoral fractures as well as femoral shaft fractures. Aug 29, 2018 · Excludes fractures of the femoral neck, intertrochanteric fractures with spiral subtrochanteric extension, periprosthetic fractures, and pathological fractures associated with primary or metastatic bone tumors and miscellaneous bone diseases (e. The combination of strong muscle forces, high axial and bending loads with normal activities, and complex fracture patterns makes treatment difficult and outcomes uncertain. Nov 22, 2023 · Background Treating subtrochanteric femur fractures in pediatric patients remains challenging, and an optimal fixation device has yet to be established. Fractures of the femoral neck, intertrochanteric fractures with spiral subtrochanteric extension, periprosthetic fractures, and pathological fractures associated with primary or metastatic bone tumors and miscellaneous bone diseases (eg, Paget’s disease, fibrous dysplasia) are excluded [12] Oct 18, 2021 · The AO/OTA classification is one of the most frequently used systems for classifying proximal femoral fractures or proximal femoral end segment fractures. Operative management of ST fractures is the mainstay of treatment, with the two primary surgical implant options being intramedullary (IM) nails and extramedullary plates. In a patient on bisphosphonates with a subtrochanteric or diaphyseal femoral fracture, the diagnosis of atypical femoral fracture is given if at least four of these major The Seinsheimer classification of subtrochanteric femur fracture type IV is a critical framework used in orthopedic medicine to categorize specific types of femoral fractures that occur below the lesser trochanter. For patients with subtrochanteric fractures treated with an intramedullary device, malreduction in any plane of greater than 10° resulted in a significantly increased rate of delayed or nonunion or both. This study aims to assess the effectiveness of the Radiographic Union Score for Hip (RUSH) in subtrochanteric fractures and determine the optimal scoring threshold for fracture healing. Fractures can occur anywhere within these 4 regions. Subtrochanteric femoral fractures deserve special consideration when discussing femoral fractures because of the difficulties in their management and reported significant rates of complications with their surgical treatment. This classification is essential for guiding treatment decisions and understanding the implications of such fractures on patient outcomes. Subtrochanteric Femur Fracture: Pathogenesis and clinical findings High energy mechanism of fracture High energy trauma typically seen in younger patients (e. A subtrochanteric hip fracture occurs between the lesser trochanter and a point approximately 5 centimeters below it. This study aimed to asess the clinical and radiological outcomes of Ortho-Bridge System (OBS) treatment for length-unstable subtrochanteric femur fractures in children aged 5–16 years. Yuan, MD Assistant Professor of Orthopedic Surgery Mayo Clinic, Rochester, MN Abstract Subtrochanteric (ST) femur fractures are proximal femur fractures, which are often difficult to manage effectively because of their deforming anatomical forces. Oblique fractures that run from me-dial-proximal to lateral-distal through the subtrochanteric region, dividing the calcar above the upper border of the lesser tro- chanter, are defined as reversed intertro- chantenc fractures and are not considered in this study. A case definition was developed so that subsequent studies report on the same condition. Furthermore, the biomechanics of hip fracture fixation strategies as well as implant-related complications are addressed. The open subtrochanteric fracture of the right femur is a significant orthopedic injury characterized by a fracture occurring in the subtrochanteric region of the femur, accompanied by an open wound. , FRCSC Montral, QC Cephalomedullary (CM) nails are antegrade femoral intramedullary nails designed for fixation into the femoral head and neck. From this, a definition of subtrochanteric fractures is suggested along with the most appropriate method of classifying this fracture. Even simple We devised a simpler classification of subtrochanteric fractures into three types based on the degree of fracture comminution. This narrative review briefly discusses various aspects of the management of subtrochanteric A hip fracture is a serious injury that can have life-altering consequences, especially for older adults. The fracture line involves the trochanter and frequently extends into the subtrochanteric region. In sub-Saharan Africa, these injuries are increasingly encountered due to an aging population, motor vehicle accidents, falls from heights, and occupational injuries. 2 The age distribution for these frac-tures has a bimodal distribution: individuals younger than 40 years old account for At present, the most common classification in scientific investigations is the AO classification [19]. These are true intertrochanteric fractures. Therefore, there is less vascularity in this region, and the potential for healing is diminished as compared with intertrochanteric fractures. Jan 1, 2018 · This is a fracture at or below the lesser trochanter. The intertrochanteric aspect of the femur is located between the greater and lesser trochanters and is composed of dense trabecular bone. It is a break between the lesser and greater trochanter or at the area approximately 5 centimeters below the lesser trochanter. These fractures are often associated with complications related to fracture union, loss of reduction, and implant failure. The terms hip fracture and neck of femur fracture are used synonymously. AI generated definition based on: Green's Skeletal Trauma in Children (Fifth Edition), 2015 Jun 6, 2023 · A lack of unanimity regarding the definition of subtrochanteric femur fractures in children is one of the main issues. See full list on icliniq. In the 1970's, Zickel was one of the first to design a short, double-curve As subtrochanteric and femoral shaft fractures are generally infrequent amongst patients with osteoporosis, two recent case–control studies have included osteoporotic hip fractures in the analysis of subtrochanteric, diaphyseal and atypical femur fractures. Subtrochanteric femur fractures are difficult to treat due to strong deforming forces at the fracture site, tenuous blood supply, and the immense load-bearing forces exerted through the Subtrochanteric femur fractures are fractures that occur just below the hip joint, in the area between the hip and the thigh bone. The causes of failure in SFF include the lack of biomechanical consideration and the preoperative planning, wrong choice of synthesis, and reduction of the fracture or the surgical technique can compromise the correct Subtrochanteric fracture occurs below the lesser trochanter, in a region that is between the lesser trochanter and an area approximately 2 1/2 inches below. Methods We obtained 94 sets of X-ray films from the postoperative follow-up of 35 patients who We help you diagnose your Proximal femur case and provide detailed descriptions of how to manage this and hundreds of other pathologies Aug 17, 2024 · Atypical femoral fractures are related to prolonged bisphosphonate therapy. In 2005, reports of atypical subtrochanteric femoral fractures began to surface, followed by case series and registry-based studies that identified a correlation between these fractures and prolonged BP therapy. Another term used is a peritrochanteric hip fracture. A subtrochanteric hip fracture is most frequently caused by minor trauma in elderly patients with weak bones, and by high-energy trauma in young people. Understanding how hip fractures occur, their symptoms, and available treatments can help patients and caregivers make informed decisions about care and recovery. The intense concentration of compression, tensile, and torsional stresses and decreased vascularity of the region has challenged ort … We would like to show you a description here but the site won’t allow us. Apr 1, 2016 · Fractures within the subtrochanteric region of the hip are notoriously challenging due to their intrinsic instability, fracture displacement and the large forces acting across this region. They are often called reverse oblique fractures. Jun 4, 2017 · Interestingly, pertrochanteric fractures comprise approximately 50 % of all proximal femur fractures and occur in an older patient population than do femoral neck fractures [12]. At Orthopaedic Associates of Zanesville, our experienced orthopaedic surgeons specialize in diagnosing and treating hip Jan 25, 2024 · Hip fractures are classified as intracapsular, which includes femoral head and neck fractures, or extracapsular, which includes trochanteric, intertrochanteric, and subtrochanteric fractures. A clear definition with therapeutic and prognostic value of simple and complex fracture types does not exist. This type of fracture is particularly relevant in clinical medicine due to its association with high-energy trauma, potential complications, and the need for specialized management strategies Feb 1, 2021 · Subtrochanteric (ST) femur fractures are proximal femur fractures, which are often difficult to manage effectively because of their deforming anatomical forces. However, subtrochanteric femur fractures continue to remain a difficult subset of fractures to care for, with loss of reduction and nonunion being significant complications. 2 The sub-trochanteric region of the femur has exceptionally large forces acting upon on it, having the highest tensile forces in the body transmitted Feb 1, 2021 · Subtrochanteric (ST) femur fractures are proximal femur fractures, which are often difficult to manage effectively because of their deforming anatomical forces. Only eight of those classifications defined the area of bone, which constituted a subtrochanteric fracture. Jul 17, 2023 · Subtrochanteric femur fractures are difficult to treat due to strong deforming forces at the fracture site, tenuous blood supply, and the immense load-bearing forces exerted through the peri-trochanteric region. The location of the fracture and the amount of angulation and comminution play integral roles in the overall morbidity of the patient, as does the preexisting physical condition of the individual Aug 8, 2023 · Hip fractures are one of the most frequent fractures presenting to the emergency department and orthopedic trauma teams. Check out the pronunciation, synonyms and grammar. Introduction Hip fractures can be divided into two groups: intra-capsular femoral neck fractures (further localized as subcapital, transcervical or basicervical) and extra-capsular peri-trochanteric fractures, namely the intertrochanteric and subtrochanteric fractures. Yves Laflamme, M. The most useful classification system Closed subtrochanteric fracture of the left femur refers to a fracture located in the subtrochanteric region of the left femur without any associated skin breach. Atypical Subtrochanteric and Diaphyseal Femoral Fractures: Second Report of a Task Force of the American Society for Bone and Mineral Research (2014) Bisphosphonates (BPs) and denosumab reduce the risk of spine and nonspine fractures. There is ongoing discussion about risk factors for delayed fracture healing after SFF. Operative management of ST fractures is the mainstay of treatment, with the two primary surgical implant options being intramedullary (IM) n … Subtrochanteric fractures are fractures that occur in a zone extending from the lesser trochanter to 5cm distal to the lesser trochanter, however extension into the intertrochanteric region is common. In clinical settings, fractures are primarily classified as stable and unstable intertrochanteric and subtrochanteric fractures. Reduction and stable fixation have been implicated as the major predictors for favorable outcomes. The intense concentration of compression, tensile, and torsional stresses and decreased vascularity of the region has challenged orthopaedists with problems of malunion, delayed union, and nonunion resulting from loss of Oct 26, 2025 · subtrochanteric adjective sub· tro· chan· ter· ic ˌsəb-ˌtrō-kən-ˈter-ik, -ˌkan- : situated or occurring below a trochanter History Subtrochanteric fractures occur in the proximal region of the femur. com Sep 11, 2025 · By definition, subtrochanteric hip fractures (or, simply, subtrochanteric fractures) extend into the region between the lesser trochanter and a point 5 cm distally. - references: - Subtrochanteric femoral fractures: influence of patient age on fracture type and mobility - Treatment Options: - intramedullary nailing for subtrochanteric frx - other options: - sliding screw fixation in subtroch frx - references: - Low-energy subtrochanteric fractures in elderly patients: results of fixation with the sliding Feb 21, 2024 · Subtrochanteric femoral fractures are challenging to manage and differ significantly from both femoral shaft fractures and more proximal femoral injuries in their mechanism, treatment, and complications. To evaluate the inter- and intra-observer variation for this Oct 16, 2025 · Trochanteric fractures occur at the greater and/or lesser trochanters of the femur. The Jul 6, 2024 · The subtrochanteric area of the femur is composed mainly of cortical bone. Russell Introduction The incidence of hip fractures in the United States is over 250,000 ho… Apr 8, 2022 · Subtrochanteric fractures represent a distinct entity. The greater trochanter serves as an insertion site for the gluteus medius, gluteus minimus, obturator internus However, subtrochanteric femur fractures continue to remain a difficult subset of fractures to care for, with loss of reduction and nonunion being significant complications. D. The purpose of this paper is to examine the recent li Oct 9, 2024 · Background Prompt identification of fracture healing is crucial for medical decision-making and clinical research. Although early fixation options led to implant failure and high rates of nonunion, advances in implant technology in addition to an improved understanding of the proximal femoral anatomy have led to a successful modern treatment paradigm. Both terms describe a fracture of the proximal femur between the femoral head and 5 cm distal to the lesser trochanter. Subtrochanteric fractures can be a two-part fracture (type 1, stable), a three-part fracture (type 2, unstable) and a four-part fracture or even a fracture involving more parts (type 3, unstable) (Fig. Aug 30, 2019 · The femur (thigh bone) at the level of the hip is made up of 4 different parts: the head, neck, greater trochanter, and lesser trochanter. Aug 31, 2019 · Background Subtrochanteric femur fractures (SFF) are uncommon, but have a high complication rate concerning non-union and mechanical complications. Atypical femur fractures (AFFs) located in the subtrochanteric region and diaphysis of the femur have been reported in patients taking BPs and in patients on Jun 26, 2020 · 10. failure of fixation device Subtrochanteric Fractures Definition fracture that occurs at or below the lesser trochanter to a point 5 cm distal to the lesser trochanter (proximal shaft of femur) Mechanism young = high energy trauma older = osteopenic bone + fall, pathological fracture Clinical Features similar to intertrochanteric fractures Introduction Subtrochanteric (ST) femur fractures are defined as frac-tures of the proximal femur that occur within 5 cm of the lesser trochanter. Browse the use examples 'subtrochanteric fracture' in the great English corpus. Intertrochanteric hip fractures This construct has been shown to be stronger in axial load to failure in unstable subtrochanteric femur fractures. Dec 3, 2016 · Abstract Pediatric subtrochanteric femur fractures are a challenging subset of fractures to treat, with a relative paucity of literature-based evidence to support specific algorithmic approaches. The purpose of this study was to evaluate the influence of coronal and sagittal plane malreductions on time to union of The aim of this study was to define the incidence and investigate the associations with mortality and medical complications, in patients presenting with subtrochanteric femoral fractures subsequently treated with an intramedullary nail, with a May 4, 2024 · Subtrochanteric fractures present a bimodal curve of prevalence affecting both elderly and young patients. Fractures in younger patients are indicative of high-energy trauma. There is a potential difficulty of placing two parallel screws, especially in smaller patients with narrower femoral necks. Apr 1, 2024 · There is variation in the definition and classification of sub-trochanteric fractures, but they are most commonly defined as a proximal femoral fracture involving the region from the level of the lesser trochanter to 5 cm below this point. Subtrochanteric Femoral Fractures Brandon J. A paediatric subtrochanteric femur fracture, according to Pombo and Shilt, is within 10% of the entire femur length below the lesser trochanter [8]. Studies have differed regarding the definition of pediatric subtrochanteric femur fractures. Mechanism Elderly: > 90% are from a low energy fall (Egol 2010) Young: Typically a high-energy trauma, such as a motor-vehicle accident or fall from a height Epidemiology Intertrochanteric fractures account for about 50% of proximal femur fractures (Egol 2010) Female to male ratio is 3:1, likely Aug 8, 2023 · Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. 2, 9 Practical Definition • Low energy subtrochanteric or femoral shaft fracture frequently associated with bisphosphonate use with a characteristic set of features. In this article, we review the relevant anatomy and classification of femoral neck and intertrochanteric fractures. Jul 1, 2010 · This study examines the previously used definitions of a subtrochanteric fracture and compares the different classification systems. A direct relationship between age and the severity of pertrochanteric fractures has also been identified. Subtrochanteric fractures represent a distinct entity. This injury is significant due to its impact on mobility and the potential for complications. Typically, isolated greater trochanteric fractures can be treated non-operatively. It is relatively uncommon. When a fracture occurs in a younger patient, it is usually the result of a high-energy event, such as a fall from a ladder. Furthermore, no studies have compared the outcomes of different nailing systems used to treat subtrochanteric fractures in the same study population. Subtrochanteric fractures are significant A multidisciplinary expert group reviewed pertinent published reports concerning atypical femur fractures, as well as preclinical studies that could provide insight into their pathogenesis. May 4, 2024 · Subtrochanteric fractures typically occur in the proximal femur between the inferior aspect of the lesser trochanter and a distance of about 5 cm distally. This type of fracture is classified based on its specific location, and it presents distinct challenges in diagnosis and treatment. One of the main characteristics that differentiate the subtrochanteric fracture pattern for other femoral fractures is a great difficulty in the reduction of the proximal fragment. This review article considers the anatomy, biomechanics, presentation and detailed management of subtrochanteric fractures. Understanding the definition and scope of this fracture is crucial for effective diagnosis and management. The actual length of femur defined as the subtrochanteric zone varied from 3cm up to the level of the femoral isthmus. Definition Fracture which extends between the trochanters of the proximal femur Extra capsular / well vascularized Epidemiology 50% of hip fractures - elderly - osteoporotic - female Signs Leg - shortened - externally rotated - groin pain with leg movement Evans Classification Two main types - Type 1 Intertrochanteric - Type 2 Reverse Oblique Type 1 Intertrochanteric 2 part undisplaced 2 part Nov 18, 2014 · As subtrochanteric fractures are defined those of which part of the fracture line lies within the zone between a horizontal line even with the inferior aspect of the lesser trochanter and another horizontal line 5 cm below it. g. Given enough force, it may occur at any age, but in practice, most arise as a pathological fracture in an elderly person following comparatively minor injury. Hemiarthroplasty / THA Infected nonunion varus malreduction surgical options subtrochanteric hip fractures subtrochanteric fractures salvage reconstruction nail plating operative options non union management imn hip fractures fixation techniques definition cut out ‹ Intertrochanteric Fractures Up Atypical Femur Subtrochanteric fractures take place in the proximal region of the femur, whose anatomical definition is difficult and controversial. These fractures are rare, and there is no clear consensus among authors on the definition of a subtrochanteric femur fracture in children. The purpose of this study was to evaluate potential risk factors for delayed fracture healing after SFF. A femur subtrochanteric fracture refers to a well-recognized complication in adult femoral neck fractures treated with cannulated screw fixation, where the fracture occurs below the lesser trochanteric region. Their main use is to treat selected, complex proximal femoral fractures. Oct 6, 2025 · Intertrochanteric Fractures are common extracapsular fractures of the proximal femur at the level of the greater and lesser trochanter that are most commonly seen following ground-level falls in the elderly population. lx9q rim q99 dhfz d7sa wban3e0 nb6w 9jql9xv b2dl1x kxlv