DOI: https://doi.org/10.36347/sasjs.2026.v12i05.007

Pages: 370-375

The aim of this study was to determine the epidemiological profile and therapeutic aspects of trochanteric fractures in the Orthopedics-Traumatology department of Kati University Hospital. This was a retrospective study of 89 patient files treated between January 2019 and December 2023. Trochanteric fractures accounted for 64.28% of proximal femur fractures, mainly affecting men (sex ratio: 1.28) with a mean age of 62.15 ± 15.80 years. Good pre-fracture autonomy (Parker score >6) was present in 80% of patients. The right side was the most affected. Domestic accidents were the main etiology (68.5%). Type I and VII fractures according to Ender were the most common (30.3% and 21.4%). Surgical treatment with Dynamic Hip Screw-plate was the most performed (39.3%) followed by the 95° Blade-plate (30.3%) and the Gamma nail (15.7%). The complications included infections (5.6%), pressure ulcers (2.2%), implant failures (3.4%), cervical screw back-outs (5.6%), and femoral head necrosis (2.2%). Functional outcomes, evaluated according to the Merle d’Aubigné and Postel scoring system, were satisfactory (excellent, very good, and good) in 88.7% of cases. Rapid and multidisciplinary management seems essential to improve the prognosis and functional outcomes of trochanteric fractures.