Association of bone quality measured as determined by NCCT scan and 3D CT based fracture pattern in intertrochanteric femur fracture in adults.

Hip fracture is one of the most common types of fracture in humans, particularly in the elderly with osteoporosis and young adults with high velocity trauma.It is reported that intertrochanteric fracture is the most common type of hip fractures and the number of patients increases with the age of the population. Computed tomography scans have been considered gold standard to asses bone morphology. They facilitate better understanding of the fracture pattern and therefore improve pre-operative planning and hence the outcome of fracture management. The most commonly used classifications for intertrochanteric femur fracture are Evans , Jensen and AO/OTA classifications which are based on two dimensional X-ray images which were found to have shortcomings in describing the actual fracture morphology and fracture stability, resulting in reduced diagnostic accuracy. Role of posteromedial column, lateral column and identifying unstable fracture can improve better choice of implant and fixation technique. We aim to evaluate the bone quality of proximal femur  by Hounsfield unit in CT scan and its correlation with age and type of fracture pattern in intertrochanteric femur fracture in adults.