Femoral neck fractures due to primary tumors or metastases

Right Femoral Neck Fracture

The treatment of fresh femoral neck fractures due to metastases poses many problems Tachdijan et al, 1959 Ehlers and Grimschl, 1960 Poigenfurst et al, 1968 Cotta and Roche, 1984 Berentey, 1989 Mutschler et al, 1989 Friedl, 1995 . In the presence of disseminated metastases a solution must be sought that will facilitate the care of the patient. We recommend internal fixation with two or three cannulated screws, possibly supplemented by bone cement or bone substitute material. If the diagnosis of...

Treatment of pathologic femoral neck fractures

Pathologic Compression Fractures

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

Smith Petersen Nail

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...