Conservative Treatment of a Nondisplaced Intertrochanteric Femur Fracture: A Case Report and Review of the Literature

Iowa Orthop J. 2021 Dec;41(2):91-94.

Abstract

A 21-year-old otherwise healthy male sustained a nondisplaced, intertrochanteric fracture of the left femur after being "rear-ended" by a motor vehicle while riding his bicycle. His fracture was managed with protected weight-bearing and progressive mobilization. No traction was utilized. The patient had an excellent clinical outcome at two-year follow-up, reporting modified Harris Hip Score 85, Hip Outcome Score-Activities of Daily Living 88, Hip Outcome Score-Sport Specific 89, and International Hip Outcome Tool-33 of 77.

Conclusion: Nonsurgical treatment, consisting of restricted weight-bearing, for non-displaced intertrochanteric femur fracture in young, healthy patients can provide a successful result.Level of Evidence: V.

Keywords: conservative management; hip; orthopaedic surgery; trauma.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Activities of Daily Living
  • Adult
  • Conservative Treatment*
  • Femur
  • Hip Fractures* / diagnostic imaging
  • Hip Fractures* / surgery
  • Humans
  • Male
  • Treatment Outcome
  • Young Adult