Intertrochanteric Fractures · Ortho Skills (Real Life)

Intertrochanteric Fractures · trauma

An elderly patient has a reverse-obliquity intertrochanteric fracture. Which construct thinking matches the failure mode?

• ASliding hip screw alone is ideal because collapse is always beneficial
• BTreat as a Garden IV femoral neck with screws
• CUnstable pattern (reverse obliquity) — nail or another construct that resists the expected collapse, not a side-plate that will medialize
• DNon-op because extracapsular fractures never displace