How do you manage a broken neck of the femur?
How do you manage a broken neck of the femur?
Until there is conclusive data available, we recommend that surgery should be done on an urgent basis. The key factors in treating femoral neck fractures should include early diagnosis, early surgery, anatomic reduction, capsular decompression and stable internal fixation.
What is a Garden IV fracture?
Garden stage IV: complete fracture, completely displaced. femoral head aligned normally in the acetabulum and its medial trabeculae are in line with the pelvic trabeculae.
When do you use a traction splint?
Medical uses Traction splints are most commonly used for fractures of the femur (or upper leg bone). For these fractures they may reduce pain and decrease the amount of bleeding which occurs into the soft tissues of the leg. Some state that they are appropriate for middle tibia fractures which are displaced or bent.
Which muscles require strengthening after post operative fracture neck of femur?
Muscle Strength Gluteus Medius : Most Important muscle for rehabilitation as it improves the postoperative/post traumatic pelvic stability.
What is the Garden classification of fractured neck of femur and how does it influence surgical management?
The Garden classification incorporates displacement, fracture completeness, and relationship of bony trabeculae in the femoral head and neck. Gardens’ originally reviewed 80 patients with femoral neck fractures, which he classified in Types I to IV, and he followed these patients for at least 12 months postoperatively.
What is Subcapital hip fracture?
Femoral neck (subcapital) fractures: These fractures occur in the neck of the thighbone. Metal pins can be inserted to support the femoral head. Intertrochanteric fractures: These fractures occur in the large bumps of bone (trochanters) below the neck of the thighbone.
What type of fracture is a Subcapital?
Subcapital fracture is the most common type of intracapsular neck of femur fracture. The fracture line extends through the junction of the head and neck of femur.
What type of splint is best for use on a femur fracture?
Sager splint sits between the leg against the ischial tuberosity, so it is more effective for proximal femur fracture than hare splint. Also, one Sager splint can be used for a bilateral femur fracture.