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.
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.
Early mobilization is important even though strength and independence may take months to recover.
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.
A walker or cane, used until you're able to return to your prior baseline level of assistance.
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.
Lower-extremity range of motion (ROM) may begin after surgery, with light exercises added around 2–4 weeks.
Early gait, transfers, balance, and lower-extremity strengthening; formal therapy is standard.
A 6–8 week X-ray to confirm healing. An optional 3–6 month X-ray may be used to monitor final healing.
Every fracture moves through the same general phases, though the exact timing is different for every patient:
Work or School: Return depends on preinjury function; desk work may precede full mobility recovery.
Sports or High-Risk Activity: Low-impact activity after healing and strength recovery; high-risk activity individualized.
Wound problems, increasing pain, inability to bear weight, DVT symptoms, infection, hardware failure, or loss of alignment.
See our full When to Call page for the difference between routine office contact and emergency evaluation.
A walker or cane, used until you're able to return to your prior baseline level of assistance.
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.
Every fracture heals differently. If you have questions about your treatment plan, reach out to Dr. Kee's office.