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Fractures of Femur

The lecture on fractures o femur explains the basics along with types, management and complications.

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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

 

 

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