hip fractures Flashcards
sites of fracture
investigations
X-ray hip and pelvis
lateral and AP for hip and AP pelvis
MRI hip and pelvis if occult fracture is suspected
clinical features of femoral neck fractures
groin pain
shortened and externally rotated leg
minimal bruising because the fracture is intracapsular
unstable neck of femur fracture in children and young adult
attept preservation of the femoral head
open reduction and innternal fixation within 6 hours
requires good compliance with physical therapy to regain stability in the joint
in a considerable amount of cases the femoral head dies off post-OP, leaving arthoplasty as the only option
unstable NOF fracture in older adult
THR or hemiarthroplasty
risk of non-union and avascular necrosis
garden classification appearance
garden classification explanation
complications of NOF
osteonecrosis of thee femoral head
thromboembolsim
infection
chronic pain and post traumatic arthritis
nonunion
dislocation
nerve injury
Arteries of the NOF