hip fractures Flashcards

1
Q

complications of hip fractures

A
  • loss of function
  • infection
  • DVT/PE/MI/CVA
  • dislocation
  • periprosthetic fracture
  • AVN for intracapsular
  • bone not healing
  • bone healing in wrong position for extracapsular
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2
Q

what surgery for extracapsular subtroch

A

IM nail

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3
Q

what surgery for intracapsular high functioning young individual

A

CHS (compression hip screw)

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4
Q

what surgery for extracapsular intertroch

A

DHS screw

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5
Q

what surgery for intracapsular low function

A

hemi-arthroplasty

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6
Q

what type of fracture for an intracapsular high function displaced fracture

A

total hip replacement

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7
Q

hip fracture management

A
  • surgery

- early mobilisation

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8
Q

what bedside tests do you do for hip fracture

A
  • ecg

- bloods

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9
Q

presentation of hip fracture

A
  • fall
  • unable to weight bear
  • cognitive impairment if hit head
  • shortened and externally rotated leg
  • dehydration
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10
Q

what are the relevant medical conditions for surgery of hip fracrures

A
  • diabetes
  • bleeding disorders
  • cardiovascular disease
  • parkinsons
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11
Q

types of extracapsular frcature

A
  • basicervical
  • intertrochanteric
  • reverse oblique
  • subtrochanteric
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12
Q

two types of intracapsular fracture

A

subcaptial and transcervical

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13
Q

two types of hip fracture

A

intracapsular and extracapsular

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14
Q

risk factors for hip fractures

A
  • osteoporosis
  • smoking
  • malnutrition
  • excess alcohol
  • neurological impairment
  • impaired vision
  • low BMI
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