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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 ...
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.
The blood supply of the femoral head is much more likely to be disrupted in Garden types 3 or 4 fractures. Surgeons may treat these types of fracture by replacing the fractured bone with a prosthesis arthroplasty. Alternatively the treatment is to reduce the fracture (manipulate the fragments back into a good position) and fix them in place ...
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.
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.
Buck's traction, involving skin traction. It is widely used for femoral fractures, low back pain, acetabular fractures and hip fractures. [2] Skin traction rarely causes fracture reduction, but reduces pain and maintains the length of the bone. [2] Dunlop's traction – humeral fractures in children; Russell's traction; Halo-gravity traction
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.
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 ...
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