Hip fractures Flashcards
What are the two broad types of hip fracture?
Intracapsular
Extracapsular
What are the two types of intracapsular fractures?
Femoral Head
Femoral Neck
What are the types of extracapsular fracture?
Trochanteric - Avulsion of trachanter
Intertrochanteric - Between trochanters
Subtrochateric - Distal to trochanters
Why is an intracapsular fracture worse?
Disrupts blood supple via reticular arteries from medial and lateral circumflex femoral arteries causing a risk of AVN
What are the treatment options for an intracapsular fracture?
- Total hip replacement - if severe of comminuted
- Hemi arthroplasty
- Cannulated screws - If younger and no osteoporosis
What are the treatment options for an extracapsular fracture?
- Intramedullary nail
- Dynamic hip screw - allows movement and remodelling
What is this?
Total hip replacement
What is this
hemiarthoplasty
What is this?
Cannulated screws
What is this?
Intramedullary nail
What is this?
Dynamic hip screw