Nonoperative treatment is reserved for medically infirm patients that cannot tolerate any surgical intervention.
Initial treatment is symptomatic with bed rest and pain management.
Patients with intracapsular fractures generally tolerate mobilization before patients with extracapsular fractures.
Therefore, skin traction may be appropriate for intracapsular fractures, but most patients with trochanteric fractures will benefit from at least 2 weeks of skeletal traction before any attempt to mobilize from bed to chair.
2. Skeletal traction
The application of skeletal traction for a few weeks may be used for pain relief.