hip fractures Flashcards
complications of hip fractures
- loss of function
- infection
- DVT/PE/MI/CVA
- dislocation
- periprosthetic fracture
- AVN for intracapsular
- bone not healing
- bone healing in wrong position for extracapsular
what surgery for extracapsular subtroch
IM nail
what surgery for intracapsular high functioning young individual
CHS (compression hip screw)
what surgery for extracapsular intertroch
DHS screw
what surgery for intracapsular low function
hemi-arthroplasty
what type of fracture for an intracapsular high function displaced fracture
total hip replacement
hip fracture management
- surgery
- early mobilisation
what bedside tests do you do for hip fracture
- ecg
- bloods
presentation of hip fracture
- fall
- unable to weight bear
- cognitive impairment if hit head
- shortened and externally rotated leg
- dehydration
what are the relevant medical conditions for surgery of hip fracrures
- diabetes
- bleeding disorders
- cardiovascular disease
- parkinsons
types of extracapsular frcature
- basicervical
- intertrochanteric
- reverse oblique
- subtrochanteric
two types of intracapsular fracture
subcaptial and transcervical
two types of hip fracture
intracapsular and extracapsular
risk factors for hip fractures
- osteoporosis
- smoking
- malnutrition
- excess alcohol
- neurological impairment
- impaired vision
- low BMI