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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 ...
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 ...
Kuntscher nail for fracture of the shaft of the femur [25] Luque rod: for fixation of the spine [26] Moore's pin for fracture of the neck of the femur; Neer's prosthesis for shoulder replacement [27] Rush nail for diaphyseal fractures of a long bone [28] Smith-Petersen nail for fracture of the neck of femur
A. W. Fischer, head of Küntscher's department, said in 1944 about his invention: "This practical treatment of fractures using a nail, the Küntscher procedure, is, in my eyes, the greatest revolution in the treatment of bone fractures since the invention of nail extension by Klapp, and this revolution will conquer the world."
[citation needed] It is the most commonly used implant for extracapsular fractures of the hip, [1] which are common in older osteoporotic patients. There are 3 components of a dynamic hip screw, including a lag screw (inserted into the neck of the femur), a sideplate and several cortical screws (fixated into the proximal femoral shaft).
The distal capsular attachment on the femur follows the shape of the irregular rim between the head and the neck. As a consequence, the capsule of the hip joint attaches in the region of the intertrochanteric line on the anterior side, but a finger away from the intertrochanteric crest on the posterior side of the head. [4]
Femoral head fractures are very rare fractures of the upper end (femoral head) of the thigh bone ().They are a very rare kind of hip fracture that may be the result of a fall like most hip fractures but are more commonly caused by more violent incidents such as traffic accidents They are categorized according to the Pipkin classification based on the following bone fracture patterns: [1]
Coxa vara is a deformity of the hip, whereby the angle between the head and the shaft of the femur is reduced to less than 120 degrees. This results in the leg being shortened and the development of a limp. It may be congenital and is commonly caused by injury, such as a fracture.