Femoral neck fracture Flashcards
Garden I
Incomplete, Valgus impacted, abduction fracture (AO 31B1.1)
Garden II
Neutral, complete, non displaced (AO 31B1.2)
Garden III
Complete, partially displaced (31B1.3)
Garden IV
Complete, completely displaced.
< 65 Garden I-II
Conservative possible : 10kg for 8-12 Weeks
Prophylactic : 3x Screw
< 65 Garden III-IV
3x Screw or DHS + 10 kgs for 12 Weeks
> 80
Head prosthesis
65 - 80
Garden I : conservative vs operative
Garden II+ operative
Femoral head vs TEP
TEP : more OR time, more blood loss, more dislocation
FHP : more protrusion and acetabular use
Mono vs bipolar FHP
Bipolar has less acetabular use, but seems not be confirmed in vivo
Cemented vs uncemented
Uncemented : more reoperations and more intra-op fractures.