Open reduction of a displaced neck fracture

Femur Neck Fracture Open Reduction

If two or three careful attempts at a closed reduction are unsuccessful, an open reduction is preferable as further manipulations may endanger the circulation in the femoral head. Fortunately this is rarely necessary in elderly patients who constitute the majority of our patients. Due to their osteoporosis in Fig. 178. Anterolateral approach to the femoral neck Marti and Jacob, 1993 . a. Skin incision b. Splitting of the fascia lata, division of the fibers of the tensor fasciae latae muscle and...

Treatment of pathologic femoral neck fractures

Femoral Neck Plates

9.5.1 Treatment of pathologic neck fractures due to bone cysts Our subsequent discussion will be directed towards Our treatment approach is documented by clinical the treatment of various pathologic fractures and examples Figs. 226-228 . our surgical treatment aiming at the preservation of the femoral head in a sequence outlined in Sect. 2.3. Fig. 226. Pathologic fracture caused by a juvenile bone cyst. This 10-year-old boy fell during a soccer game his right leg was in external rotation, he...

Preparation for surgery

Algorithme Traction Moral

8.1.1 Preparation for immediate internal fixation To meet the requirements for emergency surgery the preparations should be as succinct as possible. With the exception of evidently absolute contraindications and remote fractures all patients with femoral neck fractures should undergo an examination relevant for an emergency situation. This includes patients in whom the interval between trauma and admission exceeds six hours. Therefore we divide the patients rather speedily into the following...

History of the treatment of hip fractures 411 The beginnings

Buttressing Hip Femoral Neck

The first proper description of proximal femur fractures was done by Ambroise Par in the 16th century. Up to this time they were thought to be dislocations cited by Cordasco, 1938 . During the ensuing centuries many unsuccessful treatment attempts have been described. Cooper 1822 distinguished between extracapsu-lar fractures having a favorable prognosis and in-tracapsular fractures that failed to consolidate he attributed this failure to the poor blood supply to the femoral head. This...

Correlation between osteoporosis age and sex for hip fractures

Osteoporosis becomes an ever-increasing health problem world wide. It leads in older persons, starting in women already with the menopause, to an increased incidence of fractures. We are dealing with metabolic changes that involve all elements of bone tissue. Primarily we are facing a decrease of cancellous bone affecting its microarchitecture. Bone cannot resist even minor forces, to a point where fractures can occur spontaneously. Two main kinds must be distinguished the primary and the...