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Home/Patient Education/Fractures/Adult Fractures/Intertrochanteric Hip Fracture
Fracture Care · Adult · Pelvis and Hip

Intertrochanteric Hip Fracture

An intertrochanteric fracture occurs in the upper thighbone just below the hip joint, and is typically stabilized with a plate/screw or rod construct. Getting up and moving safely (often with physical therapy) soon after surgery is an important part of recovery for this fracture.

This page explains how a intertrochanteric hip fracture is commonly managed, in plain language, based on Dr. Kee's typical approach to this injury.

Every fracture is different. Treatment varies based on the exact fracture pattern, displacement, age, whether surgery is needed, bone quality, other injuries, and how an individual heals. This page is general education, not your personal treatment plan — always follow the specific instructions given to you by Dr. Kee's office.

Table of Contents
What Is This Injury?
Short AnswerA quick explanation of what a intertrochanteric hip fracture is and why it's treated the way it is.

An intertrochanteric fracture occurs in the upper thighbone just below the hip joint, and is typically stabilized with a plate/screw or rod construct. Getting up and moving safely (often with physical therapy) soon after surgery is an important part of recovery for this fracture.

How Is It Treated?
Short AnswerSurgery is generally recommended to stabilize this fracture.

This fracture is generally treated with surgery to stabilize the bone while it heals. Your surgeon will explain the specific technique planned for your fracture pattern.

Brace, Cast, Splint, or Sling
Short AnswerSee the type of immobilization typically used for this fracture, and about how long it's worn.

A walker or cane, used until you're able to return to your prior baseline level of assistance.

Walking or Using the Injured Limb
Short AnswerFind the general weight-bearing or limb-use status that typically applies to this fracture.

Weight bearing as tolerated (WBAT) — you may put as much weight on the leg as feels comfortable, using a walker or cane for balance as needed. If bone loss was severe, your surgeon may instead start you at partial or touch-down weight bearing.

For a full explanation of what these weight-bearing terms mean, see our Weight-Bearing Guide.

When Does Motion Begin?
Short AnswerSee roughly when motion is typically introduced for this fracture.

Lower-extremity range of motion (ROM) may begin after surgery, with light exercises added around 2–4 weeks.

Follow-Up and Imaging
Short AnswerWhat follow-up visits and imaging typically look like for this fracture.

A 6–8 week X-ray to confirm healing. An optional 3–6 month X-ray may be used to monitor final healing.

Recovery Timeline
Short AnswerRecovery generally moves through protection, motion, weight-bearing, strengthening, and return to activity — at a pace your surgeon sets for your specific fracture.

Every fracture moves through the same general phases, though the exact timing is different for every patient:

1
Injury or Surgery
The fracture occurs, or is surgically stabilized if your surgeon recommends fixation.
2
Early Protection
A walker or cane, used until you're able to return to your prior baseline level of assistance.
3
Begin Motion
Lower-extremity range of motion (ROM) may begin after surgery, with light exercises added around 2–4 weeks.
4
Progress Use / Weight Bearing
Weight bearing as tolerated (WBAT) — you may put as much weight on the leg as feels comfortable, using a walker or cane for balance as needed. If bone loss was severe, your surgeon may instead start you at partial or touch-down weight bearing.
5
Strengthening
Physical therapy often helps rebuild strength once your surgeon confirms it's safe to begin.
6
Return to Activity
Return to work, school, driving, and sports is guided by your surgeon as healing progresses.
Return to Activity
Short AnswerGeneral guidance on when patients typically return to normal activities.

Your surgeon will guide when it's safe to return to work, school, driving, sports, or other activities based on your healing and this specific fracture. Follow the instructions given specifically to you.

Warning Signs — When to Call

  • Increasing pain that isn't controlled by your prescribed plan
  • New numbness or weakness
  • Fingers or toes that become pale, blue, cold, or very swollen
  • A cast or splint that becomes excessively tight, wet, damaged, or foul-smelling
  • New drainage, spreading redness, fever, or wound concerns

See our full When to Call page for the difference between routine office contact and emergency evaluation.

Chest pain, shortness of breath, or symptoms of a possible blood clot, or any life-threatening emergency — call 911 or go to the nearest emergency department.

Frequently Asked Questions

How long will I be in a cast, splint, or brace for a intertrochanteric hip fracture?
Short AnswerIt depends on the specific immobilization used for this fracture — see the typical duration below.

A walker or cane, used until you're able to return to your prior baseline level of assistance.

When can I return to work, school, driving, or sports after a intertrochanteric hip fracture?
Short AnswerThis is set individually based on your healing, not a fixed calendar date.

Your surgeon will guide when it's safe to return to these activities based on how your specific fracture is healing. Follow the instructions given specifically to you.

Still Have Questions?

Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.

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