The lecture on fractures o femur explains the basics along with types, management and complications.
Outline of Lecture
Fractures of the femur
Classification – anatomical
Fractures of head
Fractures of neck
Fractures intertrochanteric
Fractures subtrochanteric
Fractures shaft
Fractures suracondylar
Fractures intercondylar
Management depends
Age
Displacement
Communution
Open / closed
Facilities
Expertise
Fracture head
Above or below fovea
Fracture neck of femur
Intra capsular
Blood supply
Age / displacement
Reduction
closed / open
Dhs
Hemiarthoplasty
Total hip replacement
Fracture intertrochanteric
Extra capsular
Reduction
Dhs
Fracture subtrochanteric
Very unstable
Reduction
Dhs
Nailing
Fracture shaft
Children
skin traction
pop hip spica
4 to 14 yrs
open reduction
plating
After 14 yrs
Reduction
Interlocking intramedullary nailing
Fracture intercondylar
closed / open
Dcs
Condylar plate
Open fractures
Gustillo
Debredement
Reduction
Fixation
Complications
Blood loss
Nerve injury
Vascular injury
Joint problems
Avascular necrosis
Malunion
Non-union
