The role of osteoporosis in intertrochanteric fractures.

Osteoporosis is not the only factor that determines success in treating intertrochanteric fractures. Singh's index provides a simple and useful method for measuring this factor, however, and it should not be ignored. The index helps to predict the fractures that involve increased risk of fixation failure. It can serve as one of the guides for deciding about appropriate treatment. And if we fail to include some estimate of proximal femur strength in our evaluations of fracture results, we cannot learn how to improve those results.