14 extractive question-and-answer pairs built from Intertrochanteric Femoral Fractures, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include intertrochanteric femoral fractures, standard treatment workflow (stw), dynamic hip screw (dhs), proximal femoral intramedullary nail, arthroplasty, osteoporosis, ao classification, 31-a1 fractures. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 7 definition, 4 relationship, 2 list, 1 summary. 14 of the 14 pairs (100.0%) ask explanatory questions; the remaining 0 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 14 extractive question-and-answer pairs focused on intertrochanteric femoral fractures, derived from a single-page publication by the Indian Council of Medical Research (ICMR). The questions address definitions, relationships, lists, and summaries related to fracture classifications, treatment methods, and associated conditions. Each answer is a verbatim excerpt from the source document, ensuring traceability. Topics include AO/OTA fracture classification, treatment options like dynamic hip screws (DHS) and proximal femoral intramedullary nails, and factors influencing treatment outcomes.
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import desidata
df = desidata.load("www-icmr-gov-in-cfb5fa8b909bc424de0448df329ab88a")
df.head()First 10 of 14 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What distinguishes 31-A2.1 fractures in the AO/OTA classification? | A2.1: detachment of the lesser trochanter | • AO/OTA type-31-A pertrochanteric fractures: 31-A1 fractures - simple • 31-A2 fractures - multifragmentary - ◦A2.1: detachment of the lesser trochanter ◦A2.2: several intermediate fragments including the lesser trochanter ◦A2.3: several intermediate fragments extending more than 1 cm distal to the lesser trochanter • 31-A3: fractures - fracture line through the lateral femoral wall, anatomically defined as the lateral femoral cortex distal to the greater trochanter Nonoperative treatment to be considered in patients with severe comorbidities not fit for surgery understanding high risks of pneumonia, urinary tract infection, decubitus ulcers, deep vein thrombosis and mortality | 111 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | • AO/OTA type-31-A pertrochanteric fractures: 31-A1 fractures - simple • 31-A2 fractures - multifragmentary - ◦A2.1: detachment of the lesser trochanter ◦A2.2: several intermediate fragments including the lesser trochanter ◦A2.3: several intermediate fragments extending more than 1 cm distal to the lesser trochanter • 31-A3: fractures - fracture line through the lateral femoral wall, anatomically defined as the lateral femoral cortex distal to the greater trochanter Nonoperative treatment to be considered in patients with severe comorbidities not fit for surgery understanding high risks of | 1 | page=1,block=28 | 0.700 | valid |
| What is the anatomical definition of a 31-A3 fracture in the AO/OTA classification? | fracture line through the lateral femoral wall, anatomically defined as the lateral femoral cortex distal to the greater trochanter | • AO/OTA type-31-A pertrochanteric fractures: 31-A1 fractures - simple • 31-A2 fractures - multifragmentary - ◦A2.1: detachment of the lesser trochanter ◦A2.2: several intermediate fragments including the lesser trochanter ◦A2.3: several intermediate fragments extending more than 1 cm distal to the lesser trochanter • 31-A3: fractures - fracture line through the lateral femoral wall, anatomically defined as the lateral femoral cortex distal to the greater trochanter Nonoperative treatment to be considered in patients with severe comorbidities not fit for surgery understanding high risks of pneumonia, urinary tract infection, decubitus ulcers, deep vein thrombosis and mortality | 339 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | • AO/OTA type-31-A pertrochanteric fractures: 31-A1 fractures - simple • 31-A2 fractures - multifragmentary - ◦A2.1: detachment of the lesser trochanter ◦A2.2: several intermediate fragments including the lesser trochanter ◦A2.3: several intermediate fragments extending more than 1 cm distal to the lesser trochanter • 31-A3: fractures - fracture line through the lateral femoral wall, anatomically defined as the lateral femoral cortex distal to the greater trochanter Nonoperative treatment to be considered in patients with severe comorbidities not fit for surgery understanding high risks of | ||||
| What is a reason for revision in cases of failed internal fixation? | Associated pre-existing severe hip arthritis | • Revision for failed internal fixation • Associated pre-existing severe hip arthritis • Severely osteoporotic bone that is unlikely to hold internal fixation Red flag signs Excessive Bruising/hematoma or any distal neurovascular deficit 1. Hernández-Pascual C, Santos-Sánchez JÁ, García-González JM, Silva-Viamonte CF, Pablos-Hernández C, Ramos-Pascua L, Mirón-Canelo JA. Long-term outcomes of distal locking in extracapsular fractures treated with trochanteric Gamma3 nails. J Orthop Traumatol. 2021 Nov 26;22(1):48. doi: 10.1186/s10195-021-00609-4. PMID: 34825977; PMCID: PMC8620307. 2. Caiaffa V, Vicenti G, Mori C, Panella A, Conserva V, Corina G, Scialpi L, Abate A, Carrozzo M, Petrelli L, Picca G, Aloisi A, Rollo G, Filipponi M, Freda V, Pansini A, Puce A, Solarino G, Moretti B. Is distal locking with short intramedullary nails necessary in stable pertrochanteric fractures? | 42 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | • Revision for failed internal fixation • Associated pre-existing severe hip arthritis • Severely osteoporotic bone that is unlikely to hold internal fixation Red flag signs Excessive Bruising/hematoma or any distal neurovascular deficit 1. | ||||
| Which ministry is associated with the Indian Council of Medical Research? | Ministry of Health & Family Welfare | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. Kindly visit the website of ICMR for more information: (icmr.gov.in) for more information. ©Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India. | 699 | relationship | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | ©Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India. | 1 | page=1,block=41 | 0.700 | valid |
| What is the main treatment for fractures of the proximal femur? | fixation with a dynamic hip screw (DHS) or proximal femoral Intramedullary nail | • The mainstay of treatment is fixation with a dynamic hip screw (DHS) or proximal femoral Intramedullary nail • Stable FRACTURE -intact posteromedial cortex- Association of osteosynthesis (Ao) type A1 and A2.1 -DHS • Unstable FRACTURE - broken posteromedial cortex- Association of osteosynthesis (Ao) type A3 & A2.2 & A2.3 - Proximal femoral Intramedullary nail | 31 | summary | 0.970 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | • The mainstay of treatment is fixation with a dynamic hip screw (DHS) or proximal femoral Intramedullary nail • Stable FRACTURE -intact posteromedial cortex- Association of osteosynthesis (Ao) type A1 and A2.1 -DHS • Unstable FRACTURE - broken posteromedial cortex- Association of osteosynthesis (Ao) type A3 & A2.2 & A2.3 - Proximal femoral Intramedullary nail | 1 | page=1,block=9 | 0.700 | valid |
| What characterizes 31-A1 pertrochanteric fractures in the AO/OTA classification? | 31-A1 fractures - simple | • AO/OTA type-31-A pertrochanteric fractures: 31-A1 fractures - simple • 31-A2 fractures - multifragmentary - ◦A2.1: detachment of the lesser trochanter ◦A2.2: several intermediate fragments including the lesser trochanter ◦A2.3: several intermediate fragments extending more than 1 cm distal to the lesser trochanter • 31-A3: fractures - fracture line through the lateral femoral wall, anatomically defined as the lateral femoral cortex distal to the greater trochanter Nonoperative treatment to be considered in patients with severe comorbidities not fit for surgery understanding high risks of pneumonia, urinary tract infection, decubitus ulcers, deep vein thrombosis and mortality | 46 | definition | 0.940 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | • AO/OTA type-31-A pertrochanteric fractures: 31-A1 fractures - simple • 31-A2 fractures - multifragmentary - ◦A2.1: detachment of the lesser trochanter ◦A2.2: several intermediate fragments including the lesser trochanter ◦A2.3: several intermediate fragments extending more than 1 cm distal to the lesser trochanter • 31-A3: fractures - fracture line through the lateral femoral wall, anatomically defined as the lateral femoral cortex distal to the greater trochanter Nonoperative treatment to be considered in patients with severe comorbidities not fit for surgery understanding high risks of | ||||
| What does DHS stand for? | Dynamic Hip Screw | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. Kindly visit the website of ICMR for more information: (icmr.gov.in) for more information. ©Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India. | 60 | definition | 0.900 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 1 | page=1,block=41 | ||
| What does RTA stand for? | Road Traffic Accident | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. Kindly visit the website of ICMR for more information: (icmr.gov.in) for more information. ©Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India. | 83 | definition | 0.900 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 1 | page=1,block=41 | ||
| What does the abbreviation ADL stand for? | Activities of Daily Living | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. Kindly visit the website of ICMR for more information: (icmr.gov.in) for more information. ©Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India. | 5 | definition | 0.900 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 1 | page=1,block=41 | ||
| What does the abbreviation AP refer to? | Antero - posterior | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. These broad guidelines are advisory, and are based on expert opinions and available scientific evidence. There may be variations in the management of an individual patient based on his/her specific condition, as decided by the treating physician. There will be no indemnity for direct or indirect consequences. Kindly visit the website of ICMR for more information: (icmr.gov.in) for more information. ©Indian Council of Medical Research, Ministry of Health & Family Welfare, Government of India. | 36 | definition | 0.900 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1726645314_6_intertrochanteric_femoral_fractures.pdf | ADL: Activities of Daily Living AP: Antero - posterior DHS: Dynamic Hip Screw RTA: Road Traffic Accident July/ 2024 This STW has been prepared by national experts of India with feasibility considerations for various levels of healthcare system in the country. | 1 | page=1,block=41 |
Read straight from the file — download or use the API URL for the full dataset.
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