Displaced fracture of lesser trochanter of unspecified femur, subsequent encounter for open fracture type IIIA, IIIB, or IIIC with nonunion Save

Displaced Fracture of Lesser Trochanter: Understanding Open Fracture Types IIIA, IIIB, or IIIC with Nonunion

A displaced fracture of the lesser trochanter of the femur is a serious injury that requires immediate medical attention. This type of fracture occurs when the lesser trochanter, a bony prominence on the femur, is broken and becomes misaligned. Subsequently, an open fracture may occur, leading to more severe complications.

Open fractures are classified into various types based on their severity. Types IIIA, IIIB, and IIIC are particularly worrisome as they involve not only the fractured bone but also soft tissue damage, resulting in a higher risk of infection and nonunion.

1. Type IIIA: In this type, the broken bone penetrates through the skin, but the soft tissue damage is minimal.
2. Type IIIB: Type IIIB fractures involve significant soft tissue damage, often requiring surgical intervention to repair the surrounding muscles, tendons, blood vessels, and nerves.
3. Type IIIC: The most severe of the open fractures, type IIIC involves extensive damage to the surrounding soft tissue, including major blood vessels and nerves, potentially leading to limb-threatening complications.

Nonunion is a complication that can occur when a fractured bone fails to heal properly. In the case of displaced lesser trochanter fractures with open fractures of types IIIA, IIIB, or IIIC, the risk of nonunion is increased due to the severity of the injury and potential infection.

Timely and appropriate medical intervention is crucial for patients with displaced fractures of the lesser trochanter, especially when open fractures are present. Treatment options may include surgical fixation, external fixation, or a combination of both. However, it's important to note that this article does not cover treatment methods.

If you suspect a displaced fracture of the lesser trochanter with an open fracture, it is essential to seek immediate medical attention. Only a qualified healthcare professional can accurately diagnose and determine the appropriate treatment plan to ensure the best possible outcome.