How are extracapsular hip fractures usually managed?

Extracapsular hip fractures, such as intertrochanteric or subtrochanteric fractures, are primarily managed using a dynamic hip screw. This surgical method involves the use of a metal plate and a screw system that allows for stable fixation of the fracture while enabling some mechanical loading for healing. The dynamic hip screw's design aids in the proper alignment of the fractured bone and supports weight-bearing, which is crucial for rehabilitation and optimal recovery of function.

This choice is particularly favored in the management of extracapsular fractures because it allows for stable fixation in complex fracture patterns that might not be well-addressed by simpler methods. The dynamic hip screw facilitates mobility sooner in the postoperative period and generally has favorable outcomes regarding fracture healing and functionality.

Other management techniques like hemiarthroplasty may be indicated for displaced femoral neck fractures, particularly in older patients with significant comorbidities or poor bone quality but are less commonly used for extracapsular fractures where fixation is preferable. Cannulated screws are another option for some types of hip fractures, but they are typically indicated for intracapsular fractures rather than extracapsular ones. Screws and plates can also be utilized but are less favorable compared to dynamic hip screws for the particular patterns of extracaps