# - Intracapsular Hip # Flashcards
Commonly referred to as fractured ?, and occur ? to the capsular insertion on the femoral neck (just above the ? ?).
nof
proximal
intertrochanteric line
The ? criteria is used to grade these fractures from 1-4, based on the degree of ?;
o Garden 1: ?, ? fracture (head may tilt into a ? position).
o Garden 2: ? fracture across the ?, but not ?
(trabecular lines ? but not angulated).
garden displacement incomplete impacted valgus complete neck displaced interrupted
The ? criteria is used to grade these fractures from 1-4, based on the degree of ?;
o Garden 3: ? fracture, some ? between the fracture ends, such that head remains slightly ?.
o Garden 4: ? fracture, no continuity between the fracture ends, ? comes back to rest in the ? position.
garden displacement complete continuity valgus complete head neutral
Management of intracapsular fractures depends on the degree of ? and the ? of the patient;
o Garden 1/2: ? - low risk of
? so fixed with ? hip ? (only 1 inch scar).
o Garden 3/4: ? - high risk of ?, so ? required .
• Most commonly ?, with ? heads.
• ? heads may be better in Parkinsons disease/
epileptics due to ? risks.
displacement fitness ORIF AVN cannulated hip screw hemiarthroplasty avn hemi cemented bipolar unipolar dislocation
Caveats to this management approach are young /fit patients;
o Young ? patients should have any fracture ? due to the need for multiple ? should they have a hemiarthroplasty.
• If ? develops, they will tolerate the ? surgery much better than ? patients.
trauma screwed revisions avn revision elderly
Caveats to this management approach are young /fit patients;
o Patients that are ? well outside and good with ?’s should have a ? ? ? rather than a ?, due to
their high functional demands giving this surgery better outcomes.
• ? ? ? will last for much longer.
mobilising adl THR hemi thr
Conservative management is now rare (if ?, non-?, with ? ? and lots of ? on mobilisation).
elderly
ambulatory
multi co-morbs
pain
