treatment of the fractured hip

Question 1

In adults which vessels are disrupted by a fracture to the femoral neck?

Answer 1

retinacular vessels

NO ROLE FOR LIGAMENTUM TERES

Question 2

which garden is this

external rotation of the shaft against the head and neck - varus deformity

Answer 2

Garden 3 or 4

Question 3

undisplaced fracture with a cracked femoral neck

Answer 3

garden 2

Question 4

Impacted displaced fracture in valgus position

Answer 4

Garden 1

Question 5

If fracture is more than 2 pieces it is called a

Answer 5

communited fracture

Question 6

signs of a hip fracture

Answer 6

• external rotation
• shortened
  guarding

Question 7

screw fixation is used for what type of fractures

Answer 7

subcapital fractures

Question 8

What type of fixation is used for sub trochanteric and inter trochanteric fractures

Answer 8

screw-plate fixation

Question 9

what does primary arthroplasty allow

Answer 9

early weight bearing

Question 10

what are the relative indications for a primary arthroplasty

Answer 10

• displaced, subcapital
  > 70
  or if pathological

Question 11

local complications of arthroplasty

Answer 11

intra operative injury
non union
osteonecrosis
infection

Question 12

regional complications of arthroplasty - 3Ds

Answer 12

DVT
Decubitus ulcer
Deformity and stress

Question 13

systemic complications

Answer 13

Loss of independence
10-15% mortality in first year
 PE 
UTI 
confusion 
pulmonary issues

Question 14

which fractures subcapital will heal better, displaced or undisplaced fractures?

Answer 14

UNDISPLACED fractures
heal with low levels of necrosis
age is important

Question 15

2 main problems after hip fracture

Answer 15

non union

osteonecrosis