Name of the Procedure:

Closed Treatment of Greater Trochanteric Fracture, Without Manipulation

Summary

This procedure involves treating a fracture of the greater trochanter (part of the hip bone) without physically adjusting the bone fragments. It typically includes immobilization with a brace or cast to allow natural healing.

Purpose

The closed treatment of a greater trochanteric fracture aims to stabilize the bone, alleviate pain, and promote natural healing of the fracture without invasive surgery or manipulation. The goal is to restore hip function and mobility.

Indications

• Pain and swelling in the hip area after a fall or injury.
• Inability to bear weight on the affected leg.
• X-ray or imaging confirmation of a greater trochanteric fracture.
• Patients deemed unsuitable for surgery due to other health conditions.

Preparation

• The patient may need to undergo imaging tests (like X-rays) to confirm the fracture.
• Medication review to ensure no interference with treatment.
• Instructions to avoid eating or drinking before the procedure if sedation is considered.

Procedure Description

1. The patient is placed in a comfortable position.
2. The affected hip is immobilized using a brace, cast, or splint to prevent movement.
3. Pain relief measures, including medications, are administered as necessary.
4. Regular monitoring and follow-up appointments are scheduled to ensure proper healing and to adjust immobilization devices if needed.

Duration

The initial setup for immobilization takes around 30 minutes. The overall healing process may take several weeks to months.

Setting

The procedure is typically performed in an outpatient clinic or emergency room setting.

Personnel

• An orthopedic surgeon or specialist
• Nurses or medical assistants
• Radiologic technologists for imaging studies

Risks and Complications

• Possible skin irritation or sores from the immobilization device.
• Minimal risk of blood clots.
• Potential for inadequate bone healing or improper alignment, rarely necessitating further treatment.

Benefits

• Non-invasive treatment with fewer complications compared to surgical options.
• Relief from pain and stabilization of the fracture.
• Gradual improvement in hip function over time.

Recovery

• The patient should follow immobilization guidelines and use crutches or a walker if needed.
• Pain management prescribed by the doctor.
• Regular follow-up appointments for monitoring recovery.
• Physical therapy may be recommended to restore strength and mobility.
• Full recovery can be expected within several weeks to a few months.

Alternatives

• Surgical intervention, which may involve pins, screws, or plates to fix the fracture.
• Benefits of closed treatment include fewer complications and lower risk, but surgery may be necessary for severe fractures.

Patient Experience

• The patient may experience discomfort from the immobilization device and need pain medication.
• Regular assessments help ensure proper healing, and physical therapy may assist in regaining mobility.
• Effective pain management and clear instructions will be provided to enhance comfort and recovery.