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Self-Assessment Questions

Orthopaedic Surgery

Answer 3
  1. Open reduction and internal fixation. Reduction of the fracture to achieve anatomic alignment along with internal fixation with a sliding screw and side plate construct to maintain the alignment during the healing phase is the best course of treatment. Nonsurgical management, traction, and closed reduction with bed rest all would leave the patient in pain that would restrict mobility and increase morbidity and mortality. As opposed to the patient in question 2, hemiarthroplasty is not indicated for an intertrochanteric hip fracture in this presentation.

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