IMHS and ORIF Intertrochanteric Fractures
An intertrochanteric hip fracture involves a break in the femur that occurs lower than the femoral neck, and thus do not interrupt blood flow to the bone. These fractures can occur as a result of the same factors that cause other hip fractures, such as a fall, motor vehicle accident or sports injury, but are considered not as severe and can usually be treated successfully without the need for hip replacement surgery like other types of fractures.
Treatment for an intertrochanteric fracture can usually be done through open reduction internal fixation (ORIF) or intramedullary hip screws (IMHS), techniques that use surgical hardware to hold the fractured bone in place as it heals. These metal plates and screws are inserted into the hip while the patient is under general or spinal anesthesia. The bones are positioned in place and then secured with the hardware, which may be kept in the joint permanently for some patients. Physical therapy will likely be needed after this procedure to help patients restore strength and function to the joint.