hip fractures

Question 1

what is the blood supply to the femoral head?

Answer 1

Intramedullary artery of shaft of femur

Medial & lateral circumflex branches of profunda femoris

Artery of ligamentum teres

Question 2

what are the 2 main types of hip fracture?

Answer 2

intracapsular (neck)
extracapsular (across greater trochanter)

Question 3

what are the types of extracapsular fractures?

Answer 3

basicervical
intertrochanteric
Reverse oblique
subtrochanteric

Question 4

what is the treatment for low function intracapsular hip fracture? (e.g. care home patient with low mobility)

Answer 4

hemiarthroplasty

Question 5

what is the treatment for a high function intracapsular hip fracture? (e.g. active patient)

Answer 5

if femur is undisplaced- compression hip screw
if femur is displaced- total hip replacement

Question 6

what is the treatment for extracapsular hip fracture?

Answer 6

intertrochanteric- dynamic hip screw
subtrochanteric- intramedullary nail

Question 7

what are complications of extracapsular hip fractures?

Answer 7

non union or malunion