Treatment of pathologic femoral neck fractures

Pathologic Fracture Femur

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...

The blood supply to the proximal femur

Medial Circumflex Femoral Artery

1.6.1 Anatomy of the arterial supply For hundred years the idea prevailed that fractures of the femoral neck and their complications were foremost due to already inadequate vascularization of femoral head and neck that worsened with age Cordasco, 1938 . Nowadays, we are of the opinion that the vulnerability of the supplying vessels is the deciding factor it is due to the intraarticu-lar position of the 7 cm long portion of head and neck. During childhood this vulnerability is already present...

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...