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Femoral bone fracture

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Femoral bone fracture "neck & shaft fractures"

Published in: Health & Medicine

Femoral bone fracture

  1. 1.
  2. 2. Types of femoral bone fractures <br />Neck fracture<br />Inter-trochanteric<br />Sub-trochanteric #<br />Shaft fractures <br />
  3. 3. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />
  4. 4. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />Garden classification<br />incomplete<br />Impacted in valgus<br />complete # with partial D.<br />complete with full displacement<br />
  5. 5. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />Garden classification<br />Classification <br />According to site of #<br />subcapital<br />Transcervical<br />basicervical<br />
  6. 6. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />Garden classification<br />subcapital<br />Transcervical<br />basicervical<br />Classification <br />According to site of #<br />
  7. 7. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />Femoral neck # can be missed in 4 groups <br />Garden classification<br />stress # in Elderly <br />Patients <br />Non-displaced #<br />painless ( silent ) #<br />multiple #s<br />Classification <br />According to site of #<br />X<br />Missing <br />F neck <br />Fractures ? <br />
  8. 8. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />X-ray<br />Garden classification<br />If normal but clinical suspicion of a hip # remains high<br />Classification <br />According to site of #<br />MRI<br />Bone scan<br />Missing <br />F neck <br />Fractures ? <br />Radiologic <br />investigation<br />
  9. 9. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />falls into greater trochanter<br />simple falls<br />Elderly <br />[as fall from height or RTA<br />high-energy injuries<br />Young <br />
  10. 10. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />Elderly <br />Young <br />All patients require surgery if fit for an operation<br />Internal F. with lag multiple 3-4 screws or pins placed in parallel fashion<br />Better to have<br /> prosthetic replacement<br />
  11. 11. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />If young<br />Osteonecrosis<br />with<br />To <br />prevent <br />Displaced #<br />Emergent surgery<br />[close or open reduction <br />+ internal Fixation]<br />
  12. 12. F. Neck fracture<br />General<br />Facts <br />Causes<br />Treatment <br />Complication<br />Nonunion <br />Osteonecrosis <br />Healing inhibition<br />↑ with displacement & older<br />↑ with displacement & intracapsular hematoma<br />by Synovial fluids or Angiogenic-inhibiting factors<br />
  13. 13. F. Shaft fracture<br />Causes<br />Treatment <br />Complication<br />
  14. 14. F. Shaft fracture<br />Causes<br />Treatment <br />Complication<br />If Elderly <br />Always Suspect <br />pathological fracture <br />until proven otherwise<br />high-energy injuries<br />Young <br />
  15. 15. F. Shaft fracture<br />Causes<br />Complication<br />Treatment <br />Traction & bracing <br />External fixation <br />if multiple or severe open injuries , severe Bn loss or adolescents<br />if child + have anesthesia problems + inability to do IF<br />Treatment <br />if with neck # <br />or vascular injury<br />Method of choice<br />Intramedullary nailing<br />as controls rotation & stabilize distal third #<br />Open reduction + plating <br />
  16. 16. Treatment<br />Method of choice<br />Intramedullary nailing as controls rotation & stabilize distal third #<br />if with neck # or vascular injury<br />Open reduction + plating <br />if child + have anesthesia problems + inability to do IF<br />Traction & bracing <br />if multiple or severe open injuries , severe Bn loss or adolescents<br />External fixation <br />
  17. 17. F. Shaft fracture<br />Causes<br />Complication<br />Treatment <br />Intramedullary nailing<br />as controls rotation & stabilize distal third #<br />Method of choice<br />1<br />
  18. 18. F. Shaft fracture<br />Causes<br />Complication<br />Treatment <br />Open reduction + plating <br />if with neck # or VI<br />2<br />
  19. 19. F. Shaft fracture<br />Causes<br />Complication<br />Treatment <br />Traction & bracing <br />if child + have anesthesia problems + inability to do IF<br />3<br />
  20. 20. F. Shaft fracture<br />Causes<br />Complication<br />Treatment <br />External fixation <br />if multiple or severe open injuries , severe Bn loss or adolescents<br />4<br />
  21. 21. F. Shaft fracture<br />Causes<br />Complication<br />Treatment <br />Vascular injury.<br />Thromboembolism<br />Infection <br />Delayed union & non-union<br />Malunion <br />Joint Stiffness <br />

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