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Hip Fractures - Orthopaedic Trauma - Lecture Slides, Slides of Orthopedics

Hip Fractures, Intertrochanteric Fractures, Cross Table Lateral, Occult Hip Fracture, Dvt Prophylaxis, Intracapsular Location, Valgus Impacted Fractures, Hemiarthroplasty are some points from this lecture. This lecture is for Orthopaedics Trauma course. This lecture is part of a complete lectures series on the course you can find in my uploaded files.

Typology: Slides

2011/2012

Uploaded on 12/21/2012

devaki
devaki 🇮🇳

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Download Hip Fractures - Orthopaedic Trauma - Lecture Slides and more Slides Orthopedics in PDF only on Docsity! Hip Fractures • General principles – With the aging of the American population the incidence of hip fractures is projected to increase from 250,000 in 1990 to 650,000 by 2040 – Cost approximately $8.7 billion annually – 20% higher incidence in urban areas – 15% lifetime risk for white females who live to age 80 Docsity.com Hip Fractures • Epidemiology – Incidence increases after age 50 – Female: Male ratio is 2:1 – Femoral neck and intertrochanteric fractures seen with equal frequency Docsity.com Hip Fractures • Management – Prompt operative stabilization • Operative delay of > 24-48 hours increases one-year mortality rates • However, important to balance medical optimization and expeditious fixation – Early mobilization • Decrease incidence of decubiti, UTI, atelectasis/respiratory infections – DVT prophylaxis Docsity.com Hip Fractures • Outcomes – Fracture related outcomes • Healing • Quality of reduction – Functional outcomes • Ambulatory ability • Mortality (25% at one year) • Return to pre-fracture activities of daily living Docsity.com Hip Fractures • Femoral neck fractures – Intracapsular location – Vascular Supply • Medial and lateral circumflex vessels anastamose at the base of the neck • blood supply predominately from ascending arteries (90%) • Artery of ligamentum teres (10%) Docsity.com Hip Fractures • Femoral neck fractures • Treatment: Hemiarthroplasty – Unipolar Vs Bipolar – Can lead to acetabular erosion, dislocation, infection Docsity.com Hip Fractures • Femoral neck fractures • Treatment – Displaced fractures can be treated non - operatively in certain situations • Demented, non-ambulatory patient – Mobilize early • Accept resulting non or malunion Docsity.com Hip Fractures • Intertrochanteric fractures – Extracapsular (well vascularized) – Region distal to the neck between the trochanters – Calcar femorale – Posteromedial cortex – Important muscular insertions Docsity.com Hip Fractures • Subtrochanteric Fractures – Begin at or below the level of the lesser trochanter – Typically higher energy injuries seen in younger patients – far less common in the elderly Docsity.com Hip Fractures • Subtrochanteric Fractures – Treatment • Intramedullary nail (high rates of union) • Plates and screws Docsity.com
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