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Evidence to Improve Care


Surgery for Stable Intertrochanteric Fractures

Patients diagnosed with a stable intertrochanteric fracture are treated surgically with sliding hip screws.

Stable fractures of the upper femur can be repaired with either a sliding hip screw or intramedullary nail. The two implants are similarly effective, but sliding hip screws are less expensive than intramedullary nails and are associated with reduced blood loss during surgery.

For Patients

Your surgeon should explain which type of surgery is most appropriate for your type of hip fracture.

For Clinicians

If your patient has a stable intertrochanteric fracture, use a sliding hip screw whenever possible.

For Health Services

Ensure that surgeons have access to all resources necessary to perform appropriately selected procedures.

Process Indicator

Percentage of patients diagnosed with a stable intertrochanteric hip fracture who receive sliding hip screws during surgical intervention

  • Denominator: total number of adults diagnosed with a stable intertrochanteric hip fracture who undergo surgery

  • Numerator: number of people in the denominator who receive sliding hip screws

  • Data sources: Discharge Abstract Database, local data collection

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