Open reduction with internal fixation (ORIF)

Intertrochanteric fractures usually result from falls or direct blows. Patients have tenderness, ecchymosis, and swelling over the hip; usually, the leg is shortened and rotates externally. Plain x-rays are usually diagnostic. Treatment is usually ORIF and early mobilization.

Femoral shaft fractures: The usual injury mechanism is severe direct force or an axial load to the flexed knee. Fracture due to trauma causes obvious swelling, deformity, and instability. Up to 1.5 L of blood for each fracture may be lost. Treatment is immediate splinting, then ORIF.


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