Orthopedic Center with Orthopedist and Arthroplasty Services

Femur Surgery

Transtrochanteric fractures occur in the area between the small and the large trochanter that is located in the extra-articular part. It usually occurs in spongy bones with rich vascularization.


To learn more about femur surgery for transtrochanteric fractures, read on. We explain its characteristics and when surgical treatment is needed.

Highest Number Of Occurrences

Studies show that most transtrochanteric fractures occur in patients over 65 years. Risk factors include osteoporosis, use of medications that reduce alertness, disturbances in gait and posture, and reduced visual acuity.

According to data from the Ministry of Health, it is estimated that about 90% of the resources allocated to the treatment of orthopedic diseases by SUS are used to treat just nine diseases, femur surgery for transtrochanteric fracture is one of them.

Transtrochanteric fractures occur when direct and indirect forces are exerted to the proximal femur. They usually happen due to falls and other injuries that involve strong force.

Bone mineral density affects the chances of hip fractures. Patients who have suffered a wrist fracture in the past have higher chances of hip fractures.

Associated Fractures

Elderly patients with transtrochanteric fractures usually have associated fractures; the most susceptible bones include the spine, ribs, distal radius, pubis, and the proximal humerus.

Elderly patients are prone to falling, which is why they’re more likely to experience such fractures. Young patients experience such fractures during motor vehicle accidents and fall from a certain height.

Diagnosis Of Transtrocanterial Fracture

The initial signs of transtrochanteric fracture are pain in the area and difficulty in functioning. The medical team may notice hematoma over the great trochanter.

The doctor may be able to identify the fracture through anteroposterior radiography; however, radiography of the fractured limb under traction is needed for a more reliable diagnosis.

The use of magnetic resonance imaging may be necessary when the patient already has a history of falls and feels intense pain when moving their hips, and when the X-ray is not clear.


Fractures are classified as stable, unstable, and inverted lines to separate transtrochanteric fractures.

Surgical Treatment

Conservative treatment shouldn’t be written off for such kinds of injuries. Surgery is needed to reduce fragments, fixing them internally with an implant that is strong and well placed. It usually leads to faster recovery.

Patients should have a complete clinical evaluation at least 12 and 24 hours before femur surgery.


The easiest way to prevent these fractures is to avoid falls. Since these fractures are most common in the elderly, they can be prevented by performing cataract surgery, wearing hearing aids, and evaluating the side effects of the medication they take.

Other factors, such as attention to the quality of joint functions, must be taken into account, as well as the layout of the furniture in your home.


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Unidade Higienópolis
Sala de espera com amplo espaço e conforto para a família que espera por uma consulta de ortopedia geral ou ortopedia infantil.

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Unidade Higienópolis
A clínica Artroplastias do ortopedista em São Paulo, Dr. Felipe possui sala para acolher o paciente e família.

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Unidade Higienópolis
Sala para um exame ortopédico completo, cujo objetivo é o diagnóstico preciso. A indicação de uma artroplastia de quadril se baseia no estudo clínico e radiográfico cuidadoso do paciente.

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