hip fractures Flashcards
92% of patients with hip fractures are
over 60
how many cases per annum of hip fractures
84
intravascular fracture effects what blood supply
medial and lateral circumflex and intramedufllary aretry
classification of hip fracture
intracapular or extra capsular
types of ectracapular fractures
basicervical, intertrochanteric, reverse oblique and subtrochanteric
what is the only blood supply in an intrameduillry fracture
ligamentum teres
lady with shortened externally rotated leg
hip fracture
what is the curve in a normal hip xr
shentons line
what gives the best view of the hip xr
AP
treatment of intracapuslar fracture
usually femoral head replacement (half or full)
who with a intracapsular fracture gets a full hip replacement
high functioning elderly
when to not to give a hip replacement in intracapular hip fractures
high functioning young
what to give a high functioning young person with a inracapsular hip fracture
hip screws
management of extra capsular hip fracture
screws
intracapuslar fracture risks
non union - 20% or AVN, 6-20%
extra capsular fracture risks
malunion, non union
intertorchanteric fracture management
dynamic hip screw
management of avascular necrosis - late
hip replacement
what is compartment syndrome
increased pressure I n a muscle compartment
what is the pressure differences in compartment synod
compartment pressure is bigger Han perfusion pressure
common sits of compartment syndrome
calf forearm and hand
clinical signs of compartment syndrome
pain, parasthesia, pallor and pulselessness
