Trochanteric fracture of femur is best treated by:
**Core Concept**
A trochanteric fracture of the femur is a type of hip fracture involving the proximal femur, specifically the greater or lesser trochanter. The treatment of choice depends on various factors including the patient's age, overall health, and the stability of the fracture.
**Why the Correct Answer is Right**
The treatment of choice for a trochanteric fracture of the femur is usually surgical intervention, specifically **hemiarthroplasty or total hip replacement**. This is because these procedures allow for the restoration of hip function and mobility, reducing the risk of complications such as nonunion, malunion, or avascular necrosis. The surgical approach also enables the use of internal fixation devices such as intramedullary nails or sliding hip screws to stabilize the fracture.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because non-surgical management, such as bed rest and pain management, is not sufficient for the treatment of trochanteric fractures of the femur.
**Option B:** This option is incorrect because osteosynthesis, or the use of internal fixation devices, is often necessary for the treatment of trochanteric fractures, but it may not be sufficient on its own.
**Option C:** This option is incorrect because the use of a walking frame or other assistive devices may be helpful for patients with hip fractures, but it is not a substitute for surgical treatment.
**Clinical Pearl / High-Yield Fact**
For patients with trochanteric fractures of the femur, early surgical intervention is associated with improved outcomes, including reduced mortality and morbidity.
**Correct Answer:** C. Hemiarthroplasty or total hip replacement.