Intertrochanteric fracture is one of the most common fractures of the hip, usually due to low-energy trauma like simple falls. These fractures occur both in the elderly and the young, but they are more common in the elderly population with osteoporosis due to a low energy mechanism. Nonoperative treatment is rarely indicated and should only be considered for non-ambulatory patients and patients with a high risk of perioperative mortality or those pursuing comfort care measures. The fixation method is guided by the fracture pattern; standard options include the sliding hip screw, intramedullary nail, or fixed angle plate. In this article, we describe the use of harris hip scoring system to assess the outcome of intertrochanteric fracture.

The incidence of intertrochanteric fractures is rising because of increasing number of senior citizens with osteoporosis. By 2040 the incidence is estimated to be doubled. In India the figures may be much more. These fractures occur both in the elderly and the young, but they are more common in the elderly population with osteoporosis due to a low energy mechanism. The female to male ratio is between 2:1 and 8:1. These patients are also typically older than patients who suffer femoral neck fractures. Hence, in this article, we discuss the comparison of patients’ self assessment with the physician’s assessment of the outcome of hip fractures using Harris Hip scoring system.