This type of fracture requires operative approach if the patient is active. Proper reduction in order to achieve good results in terms of function and pain are the goals of surgery. It is not uncommon for patients to complain of severe pain after this injury. In the osteoporotic patient population this injury can be the result of low energy trauma, in the young and healthy individual it is usually the result of high energy trauma.
The decision for surgery should also include the functional demands of the patients, the presence of comorbidities, and the ability to undergo operative treatment.
Indications for hemiarthroplasty do not apply for this fracture
Due to severe osteoporosis the fixation was lost, the fracture went into varus but eventually healed in the varus position. This patient had severe loss of bone from chronic use of oral corticosteroids
Due to severe osteoporosis the fixation was lost, the fracture went into varus but eventually healed in the varus position. This patient had severe loss of bone from chronic use of oral corticosteroids
