Abstract:
A trivial fall account for 90% of intertrochanteric fractures of femur in elderly
occurs commonly because of osteoporotic bone 1, 2. Where as in young individuals it
may be a result of high energy injury such as motor vehicle accident or fall from
height.2
The incidence of fractures of the proximal femur is increasing since the
general life expectancy of the population and related osteoporosis has increased
significantly during the past few decades. They are second most common fractures
related to osteoporosis, next only to spine. There were an estimated 1.66 million hip
fractures worldwide in 1990 and this world wide annual number is expected to reach
6.26 million by the year 2050, intertrochanteric ones taking a major share of them.
Cummings et al.3 noted that neither age related osteoporosis, nor the
increasing incidence of falls with age sufficiently explains the exponential increase in
the incidence of hip fracture with aging.