Collin Freking

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Biodiversity Informatics

27  Management of Intertrochanteric Fractures: An International Comparison Collin Freking, MS-31, Michael Braman, B.Bm.E, MS-31, Laura Jackson, Ph.D., MS-31, Kameron King, MS-21, Meghan Lemons, MS-21, Joey Maksoud, MS-21, Archie Heddings, M.D.2 1The University of Kansas School of Medicine-Kansas City, Kansas City, Kansas 2The University of Kansas School of Medicine-Kansas City, Kansas City, Kansas, Department of Orthopedic Surgery Received Aug. 28, 2025; Accepted for publication Sept. 10, 2025; Published online Sept. 11, 2025 https://doi.org/10.17161/kjm.vol18.24450 Introduction. Annually there are more than 250,000 hip fractures in the United States, most of which are associated with significant issues or morbidity and mortality. Of these, approximately half are intertrochanteric fractures of the hip. Intertrochanteric fractures are particularly burdensome as they frequently result in significant blood loss, high rates of post-operative complications, and approximately a 33% 1-year mortality in addition to high rates of patient morbidity. While it is understood that intertrochanteric fractures are to be treated surgically unless otherwise contraindicated, the approach to surgery and perioperative care varies greatly throughout the world.   Methods. Charts of 13 patients that underwent ORIF of intertrochanteric fractures, May 2023 to June 2024 at Mavromati Hospital in Botoșani, Romania were analyzed and compared to the average demographic data in the United States. Analysis comparing surgical techniques, post-operative management, and short-term outcomes of patients between Botoșani, Romania and the United States were observed and reported.  Results. Patient demographics and surgical approaches are similar between surgical site in Botoșani, Romania and the United States, but differing perioperative practices including intraoperative anesthesia, post-operative analgesia, and post-operative follow up may contribute to differences in outcomes between the two nations.   Conclusions. Healthcare shortcomings that take place in the United States are analogous to those faced at Mavromati Hospital in Botoșani, Romania. Collaborating to address issues such as poor surgical outcomes in settings which vary in terms of resources and culture will benefit individuals on both sides of the collaboration to provide more holistic and effective care to patients.   Conflicts: The investigators of this project are involved in the non-profit organization the International Orthopedic Trauma Collaborative (IOTC). Involvement in this organization should not cause conflicts with the findings of this study.      Copyright © 2025 Freking, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) 

Management of Intertrochanteric Fractures: An International Comparison

The University of Kansas: Journals@KU

https://journals.ku.edu/kjm/article/download/24450/21783

Management of Intertrochanteric Fractures: An International Comparison

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Biodiversity Informatics

The University of Kansas: Journals@KU