Post Operative Management in Orthopaedic Rehabilitation Practice Test

Intertrochanteric hip fractures are considered the most technically challenging to treat due to the biomechanics and complex nature of the fracture pattern. These fractures occur between the greater and lesser trochanters of the femur and often involve multiple fragments, making stabilization more difficult.

The primary challenge lies in ensuring proper alignment and fixation of the fragments during surgery. The muscular attachments around the greater and lesser trochanters create tension that can displace the fragments postoperatively, complicating healing and increasing the risk of nonunion or malunion. Hence, surgeons must use specific techniques and devices, like dynamic hip screws or intramedullary nails, which may require advanced skills and precise execution to achieve a successful outcome.

Additionally, intertrochanteric hip fractures are commonly seen in the elderly population, who often have compromised bone quality, making them further challenging to manage. Successful rehabilitation and recovery depend on the proper surgical technique being employed, highlighting the importance of addressing the intricacies involved in these types of fractures.