clinical

1. PROXIMAL FEMUR FRACTURES
BYAJITHPRASADJOSEPH : GR4

2. TYPES- Anatomical location
(organization tree)
▶ FEMURAL HEAD - Split ,Depression ,Head & neck fracture
▶ FEMURAL NECK – Subcapital , Transcervical & Basicervical
▶ TROCHANTER – Intertrochanteric , Greater trochanteric
,Lesser trochanteric & Subtrochanteric

3. ANATOMY

6. FEMURAL HEAD FRACTURES
▶ Fractures of the femoral head are intraarticular.
▶ They may be associated with hip dislocations, acetabular fractures, or femoral
neck fractures.
▶ In split fractures (Pipkin) there is a fragment which has split off from the femoral
head.
▶ The optimal treatment strategy is not clear. Only anatomical reduction of the
fracture fragments gives good long-term results.
▶ The treatment should therefore be focused on restoration of the articular surface.
▶ ORIF-small fragment screws
▶ INDICATION – SPLIT FRACTURES with more proximal PIPKIN2 or LARGE FRAGMENTS.
▶ Other indicatons- unsuccessful closed reduction ,residual instability ,interposed
fragments in hip joint etc
▶ ADVANTAGES- anatomical reduction , stable fixation

7. ORIF

8. FEMURAL NECK FRACTURES

11. FEMURAL NECK STRESS FRACTURES

12. FEMUR NECK TREATMENT

14. EVANS CLASSIFICATION

18. THANK YOU