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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 ...
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.
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 ...
The neck is flattened from before backward, contracted in the middle, and broader laterally than medially. The vertical diameter of the lateral half is increased by the obliquity of the lower edge, which slopes downward to join the body at the level of the lesser trochanter, so that it measures one-third more than the antero-posterior diameter.
When a bone fractures, the fragments lose their alignment in the form of displacement or angulation. For the fractured bone to heal without any deformity the bony fragments must be re-aligned to their normal anatomical position.
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 ...
The practice of joint manipulation and treating fractures dates back to ancient times and has roots in most countries. The earliest known medical text, the Edwin Smith papyrus of 1552 BC, describes the Ancient Egyptian treatment of bone-related injuries. These early bone-setters would treat fractures with wooden splints wrapped in bandages or ...
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail Proximal femur nail with locking and stabilisation screws for treatment of femur fractures of left thigh An intramedullary rod , also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a ...
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