What is the typical postoperative care approach for patients with intertrochanteric fractures?

The typical postoperative care approach for patients with intertrochanteric fractures involves a phase of controlled weight bearing to promote safe healing while minimizing complications. The recommendation for touch down weight bearing or non-weight bearing until healing provides a balance between allowing early mobility and ensuring that the fracture site has adequate stability to heal properly.

This gradual weight-bearing approach is crucial because it helps maintain muscle strength and prevents complications such as joint stiffness and deep vein thrombosis. It allows for monitoring the integrity of the fixation device (if used) and ensures that any potential healing issues can be addressed in a timely manner. The period of restricted weight bearing is typically determined based on the specific type of fracture and surgical intervention performed.

In contrast, immediate full weight bearing could place undue stress on the healing fracture, potentially leading to displacement or failure of the surgical repair. Continuous physical therapy is beneficial, but it typically follows the established guidelines for weight bearing and is not the immediate postoperative care approach. Complete bed rest for 4 weeks is also not ideal, as it can lead to loss of mobility, muscle atrophy, and other complications associated with prolonged inactivity. Thus, the choice of touch down weight bearing or non-weight bearing until adequate healing aligns best with the goals of promoting successful recovery and minimizing