Study finds, Young Intertrochanteric Femur Fractures Are Ass
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A Study was conducted to compare the complication profile of femoral neck (FN) and intertrochanteric (IT) femur fractures in young patients.

Individuals undergoing surgical fixation of IT or FN fractures were identified. Patients were included if they were 18–50 years of age and had 1-year postoperative follow-up. Those with comorbid conditions of chronic kidney disease, congestive heart failure, diabetes, or coronary artery disease were excluded from the primary analysis.

Complication data, including a diagnosis of nonunion, malunion, avascular necrosis (AVN), or need for revision surgery at 1-year follow-up, were compared. In addition, medical complication data at 90 days postoperatively were evaluated.

--In total, 808 patients were identified: 392 patients with IT femur fractures and 416 patients with FN fractures.

--On multivariate analysis, FN fractures had nearly twice the risk of nonunion compared with IT femur fractures.

--IT femur fractures had a 5.4% rate of nonunion, a 3.6% rate of revision surgery, a 1% rate of AVN, and a 0.8% rate of conversion into total hip arthroplasty.

--By contrast, FN fractures had significantly higher rates of nonunion (10.3%), revision surgery (9.4%), AVN (5.8%) and conversion to total hip arthroplasty (6%).

Conclusively, the results of this study demonstrates that IT fractures in young patients have superior outcomes when compared with their intracapsular counterparts. This is the only series to evaluate the complication profile of young IT femur fractures on a large scale.