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A hip fracture is a break that occurs in the upper part of the femur (thigh bone), at the femoral neck or (rarely) the femoral head. [2] Symptoms may include pain around the hip , particularly with movement, and shortening of the leg. [ 2 ]
A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes , due to the large amount of force needed to break the bone. Fractures of the diaphysis , or middle of the femur, are managed differently from those at the head, neck, and trochanter ; those are conventionally ...
For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding screw/plate device. In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplasty , replacing the broken part of the bone with a metal implant.
A commercial version known as the "Austin Moore Prosthesis" was introduced in 1952; it is still in use today, typically for femoral neck fractures in the elderly. [112] Following the lead of Wiles, several UK general hospitals including Norwich, Wrightington, Stanmore, Redhill and Exeter developed metal-based prostheses during the 1950s and ...
Femoral torsion is the angle between a line along the femoral head and neck axis and a second line that is touching the posterior border of both femoral condyles. The normal value at birth is approximately 32° and decreases gradually with age. In adults, the normal value ranges from 10° to 20°. [1]
THRs are an effective means of treatment in the older population; however, in younger people, they may wear out before the end of a person's life. [22] Other techniques, such as metal-on-metal resurfacing, may not be suitable in all cases of avascular necrosis; its suitability depends on how much damage has occurred to the femoral head. [23]
Bone malrotation refers to the situation that results when a bone heals out of rotational alignment from another bone, or part of bone. It often occurs as the result of a surgical complication after a fracture where intramedullary nailing (IMN) occurs, [1] especially in the femur and tibial bones, but can also occur genetically at birth.
Multiple problems may compound: A mild fever in elderly persons may cause confusion, which can advance to a fall and to a fracture of the neck of the femur ("broken hip").The presentation of disease in elderly persons may be vague and non-specific, or it may include delirium or falls.
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