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Case Study: Left Intertrochanteric Fracture Treated with Intertan Intramedullary Nail in Peru

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Case Study: Left Intertrochanteric Fracture Treated with Intertan Intramedullary Nail in Peru

Case Overview

Recently, the orthopedic trauma team led by Dr. Carlos Rivera at Santa Rosa Municipal Hospital in Lima, Peru, successfully completed a closed reduction and internal fixation surgery for a left intertrochanteric fracture. The patient has shown steady postoperative progress with encouraging early functional recovery.

This case highlights the importance of rapid diagnosis, appropriate implant selection, and minimally invasive surgical techniques in managing geriatric hip fractures—a growing clinical challenge worldwide.

Preoperative Assessment & Surgical Decision-Making

After reviewing the patient’s clinical presentation, X-ray findings, comorbidities, and overall functional status, Chief Surgeon Dr. Rivera concluded that closed reduction and fixation using an Intertan Intramedullary Nail would provide the most stable and biomechanically favorable solution.
The decision was based on the need for:

  • Improved resistance to rotational forces

  • Strong and durable proximal fixation

  • Controlled compression at the fracture site

  • Minimally invasive implantation to reduce surgical trauma

This is especially essential for elderly patients, where early mobilization can drastically improve outcomes and reduce complications such as pneumonia, thrombosis, and prolonged immobility.

Case Summary

The patient, Ms. Ana Marisol Vásquez, an 82-year-old female with a medical history of arterial hypertension, presented to the hospital after a domestic fall. She reported severe left hip pain and complete inability to bear weight.

Physical examination revealed:

  • Visible deformity around the left hip

  • Markedly limited range of motion

  • Tenderness at the intertrochanteric region

  • Abnormal lower limb alignment

Radiographic imaging confirmed a displaced left intertrochanteric fracture, requiring timely surgical intervention to restore stability and mobility. 

Preoperative Imaging

Preoperative X-ray showing left intertrochanteric fracture in elderly patient in Peru-czmeditech  

Preoperative X-ray showing displaced left intertrochanteric fracture in elderly patient, Lima Peru

Postoperative Imaging

Postoperative X-ray after Intertan Intramedullary Nail fixation of left intertrochanteric fracture-czmeditech

Postoperative X-ray showing Intertan Intramedullary Nail fixation of left intertrochanteric fracture, Peru


Surgical Summary

During the surgery, Dr. Rivera noted that the CZMEDITECH Intertan Intramedullary Nail provided superior biomechanical stability and smooth implantation.
Key advantages observed include:

1. Biomechanical Advantages

  • Dual cephalocervical screws enhanced rotational resistance

  • Improved axial compression across the fracture line

  • Stable fixation minimizing risks of varus collapse

  • Even force distribution promoting bone healing

2. Design Benefits

The tapered and polished nail tip allowed the implant to glide through the medullary canal with minimal resistance, reducing tissue trauma.
The high-strength titanium alloy cephalic screws ensured excellent biocompatibility and long-term durability.

3. Instrument Set Performance

The dedicated Intertan instrument set provided:

  • Accurate guidewire positioning

  • Smooth reaming and nail insertion

  • Precise targeting for screw placement

  • Shorter operative time

  • Reduced fluoroscopy exposure

This facilitated a stable reduction and reliable fixation, meeting the biomechanical demands of the fracture pattern.


Implant Specifications

The surgery utilized a CZMEDITECH Intertan Intramedullary Nail system along with its integrated instrument set.

CZMEDITECH Intertan Intramedullary Nail with dual cephalocervical screws

Intertan Intramedullary Nail

Implant Specifications

Intertan Intramedullary Nail integrated instrument set from CZMEDITECH

If you want to learn more about this surgical case or explore the full specifications of our Intertan Intramedullary Nail system, please feel free to contact us. Our team will provide you with detailed technical support and professional answers.

Postoperative Progress

After fixation, the patient began early assisted mobilization. Pain was significantly relieved, limb alignment was restored, and follow-up radiographs confirmed stable implant positioning with signs of progressive fracture healing.
This case demonstrates that the Intertan system offers reliable fixation and favorable outcomes in elderly patients—even those with osteoporosis.

Disclaimer

All hospital names, doctor names, and patient information used in this report are pseudonyms for demonstration purposes only.


FAQ

1. Why was an Intertan Intramedullary Nail chosen for this intertrochanteric fracture in Peru?

The patient was an 82-year-old woman with limited bone quality and a left intertrochanteric fracture. The Intertan Intramedullary Nail offers an integrated cephalomedullary design and dual cephalocervical screws, providing strong rotational stability and controlled compression at the fracture site, which is ideal for early mobilization in geriatric hip fracture patients.

2. What are the main advantages of the CZMEDITECH Intertan Intramedullary Nail in this case?

The CZMEDITECH Intertan Intramedullary Nail combines dual cephalocervical screws with a tapered and polished nail tip. This design increases passage smoothness in the medullary canal, reduces soft-tissue damage, improves resistance to implant loosening, and helps achieve reliable bony union in unstable intertrochanteric fractures.

3. How did the integrated instrument set support the surgery in Santa Rosa Municipal Hospital?

The dedicated Intertan Intramedullary Nail instrument set from CZMEDITECH provides precise guides, reamers and targeting devices. This integrated design simplified intraoperative steps, ensured accurate screw placement under fluoroscopy and contributed to a smooth surgical workflow for Dr. Carlos Rivera’s team.

4. What was the postoperative outcome of this elderly patient in Lima?

After closed reduction and Intertan Intramedullary Nail fixation, the patient achieved stable fracture fixation and early functional recovery. Pain was significantly relieved, limb alignment was restored and follow-up imaging confirmed good position of the implant and progressive fracture healing.

5. Is the Intertan Intramedullary Nail suitable for other types of hip fractures?

The Intertan Intramedullary Nail is mainly indicated for stable and unstable intertrochanteric fractures and certain subtrochanteric fractures of the femur. Its cephalomedullary design allows it to address complex proximal femoral fracture patterns, but the final indication should be evaluated by the orthopedic surgeon according to each patient’s anatomy and bone quality.

6. How does dual cephalocervical screw fixation improve stability in intertrochanteric fractures?

Dual cephalocervical screws increase the contact area in the femoral head and neck, enhance control over rotation and varus collapse and allow controlled compression across the fracture line. This helps maintain reduction and reduces the risk of implant cut-out or loss of fixation in osteoporotic bone.

7. What material is used for the cephalic screws in the CZMEDITECH Intertan system?

The cephalic screws in the CZMEDITECH Intertan Intramedullary Nail system are made of high-strength titanium alloy. This material offers excellent biocompatibility, corrosion resistance and long-term fatigue strength, reducing the risk of late implant wear or adverse reactions.

8. Can CZMEDITECH provide customized sizes or complete sets for distributors and hospitals?


Yes. CZMEDITECH offers a full range of Intertan Intramedullary Nails and matching instruments. According to local clinical demand, distributors and hospitals can select standard sizes or discuss customized specifications and set configurations to meet their orthopedic trauma surgery needs.

9. What perioperative considerations are important for elderly patients with intertrochanteric fractures?

For elderly patients, it is essential to control comorbidities such as hypertension, optimize anesthesia risk, minimize surgical trauma and start early mobilization under protection. Stable internal fixation with an Intertan Intramedullary Nail supports early weight-bearing and helps reduce complications related to prolonged bed rest.

10. How can this Peruvian case support international customers evaluating CZMEDITECH hip fracture solutions?

This Lima, Peru case demonstrates that the CZMEDITECH Intertan Intramedullary Nail can provide reliable fixation and good outcomes in real clinical practice. For international distributors and hospitals, such global case reports help build confidence in product performance, instrumentation quality and technical support from CZMEDITECH.

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