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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] Usually the person cannot walk. [3] A hip fracture is usually a femoral neck fracture.
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 ...
Moreover, pregnancy is a well-recognized risk factor for femoral neck fatigue fracture. While fibular and metatarsal fractures have a low risk of complications, other sites including the femoral neck, midanterior tibia, navicular, talar, and other intraarticular fractures are prone to complications such as delayed union, nonunion, and displacement.
The Garden classification is a system of categorizing intracapsular hip fractures of the femoral neck. This fracture often disrupt the blood supply to the femoral head . British orthopaedic surgeon Robert Symon Garden [ fr ] described a classification system for this type of fracture, referred to as the Garden classification and consisting of ...
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.
An intracapsular fracture is a bone fracture located within the joint capsule. Examples of intracapsular fractures includes: Examples of intracapsular fractures includes: In the hip : Fractures of the femoral head and femoral neck .
Pauwel's angle is the angle between the line of a fracture of the neck of the femur and the horizontal as seen on an anterio-posterior radiograph. [1] Pauwel's angle is named after the German orthopedist Friedrich Pauwels. [2] Introduced in 1935, this system was the first biomechanical classification for femoral neck fractures, and is still in ...
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail The surgical treatment of mandibular angle fracture; fixation of the bone fragments by the plates, the principles of osteosynthesis are stability (immobility of the fragments that creates the conditions for bones coalescence) and functionality Proximal femur ...