Jaypee Brothers
In Current Chapter
In All Chapters
X
Clear
X
GO
Normal
Sepia
Dark
Default Style
Font Style 1
Font Style 2
Font Style 3
Less
Normal
More
Proximal Femoral Fractures
Sudhir Babhulkar, DD Tanna
CHAPTER 1:
Anatomy
CHAPTER 2:
Epidemiology, Mechanism of Injury and Diagnosis
Epidemiology
Mechanism of Injury
Diagnosis
CHAPTER 3:
Principles of Treatment
Method of Thromboprophylaxis
CHAPTER 4:
Femoral Head Fractures
Mechanism of Injury
Injury Profile
Classification
Thompson and Epstein Classification
Stewart and Milford Classification
Pipkin Classification (Figs 4.1A to D)
Brumback Classification (Fig. 4.2)
Investigations
Treatment Options and Management Protocol
Historical Controversy of Operative Reduction and Surgical Approach
Treatment Protocol
Pipkin Type I
Pipkin Type II
Pipkin Type III
Pipkin Type IV
Brumback Indentation Fracture
Discussion
Results
Conclusion
CHAPTER 5:
Fracture Neck Femur in Children
Anatomy
Clinical Features
Classifications
Delbet's Classification of Fracture Neck Femur in Children
Type I: Transepiphyseal Fractures
Treatment
Type II: Transcervical Fractures
Complications
Treatment
Type III: Cervicotrochanteric Fractures
Treatment
Type IV: Intertrochanteric Fracture
Nonunion Group
Discussion
Complications
Avascular Necrosis
Classification of Avascular Necrosis
Coxa Vara
Nonunion
Premature Physeal Closure
Infection
Summary and Conclusion
Stress Fracture Neck Femur
CHAPTER 6:
Fracture Neck Femur in Adults
Presentation and Diagnosis
Classification
Anatomic Location
Fracture Angle (Pauwels’ Classification)3
Fracture Displacement (Garden's Classification)4
Orthopedic Trauma Association (OTA) Classification
Fracture Neck Femur and Vascularity
Evolution of Surgical Treatment
Treatment
Impacted and Undisplaced Fracture Neck Femur (Figs 6.10A to F)
Displaced Femoral Neck Fractures
Closed or Open Reduction and Internal Fixation
Surgical Procedures
Multiple Cancellous Screws (Parallel Cancellous Screws)
Sliding Hip Screw
Primary Abduction Osteotomy
Hemiarthroplasty
Total Hip Arthroplasty
Surgical Approach for Prosthetic Replacement
Complications
Mortality
Infection
Deep Venous Thrombosis
Dislocation
Loss of Fixation
Nonunion
Muscle Pedicle Grafting (Meyers)
Surgical Technique
Osteonecrosis
Heterotopic Ossification
Painful Hip (Table 6.2)
Conclusion
CHAPTER 7:
Intertrochanteric Fractures
Etiology
Classification
Management
Surgical Treatment
Evolution of Surgical Techniques
Compression Hip Screw and Side Plate
Technique of DHS Fixation
Open Reduction of Intertrochanteric Fracture
Open Reduction: Surgical Procedure
Intramedullary Sliding Hip Screws
Mechanical Advantage Over DHS
Operative Procedure
Gamma Nailing
Proximal Femoral Nail
Complications of Intramedullary Hip Screw
Review of the Literature
Use of Bone Grafts, Bone Substitute
Augmentation with Bone Cement
Role of External Fixator
Prosthetic Replacement
Prosthetic Replacement of Fresh Intertrochanteric Fracture: Surgical Procedure
In Summary
Postoperative Regimen and Care
Functional Outcome
Medical Complications
Mechanical Complications
Loss of Proximal Fixation
Femoral Shaft Fractures
Nonunion
Revision of Osteosynthesis for Nonunion of Intertrochanteric Fractures
Bipolar or THR after Nonunion of Intertrochanteric Fracture Femur
Surgery
Pearls
Few Odd Observations in Intertrochanteric Fracture Fixation
Painful Hardware
Osteonecrosis
Subcapital Fracture Neck Femur
Summary and Conclusion
CHAPTER 8:
Subtrochanteric Fractures
Classifications
Biomechanical Factors
Management
Surgical Procedures
Fixed Angle Nail Plate (Jewett Nail)
95° AO Angled Blade Plate (Figs 8.6 and 8.7)
Dynamic Condylar Screw Plate
Compression Hip Screw (DHS/SHS)
Intramedullary Devices
Ender's Nailing
Conventional First-generation Interlocking Nailing (Central Medullary)
Reconstruction Nails—Russell-Taylor Nail, Gamma Nail, PFN (Cephalomedullary Nails)
Discussion
Complications
Loss of Proximal Fixation
Fracture Shaft Femur
Nonunion–Delayed Union
Malunion
Painful Hardware
Conclusion
CHAPTER 9:
Ipsilateral Femoral Neck and Shaft Femur Fractures
Mechanism of Injury
Management
Gamma Nail (Figs 9.1 to 9.3)34,35
Russell Taylor Nail (Fig. 9.4)32,35,36,40
Proximal Femoral Nail (Figs 9.5 and 9.6)
Multiple-Screw for Neck with Retrograde Nailing Interlocking (Figs 9.7 to 9.9)22,27
DHS with DCP (Fig. 9.10)22,25,26
DHS with Retrograde Nail (Fig. 9.11)
Miss-a-Nail Technique (Fig. 9.12)13,14,29,31
Lag Screw—Multiple Cancellous Screws for Neck with DCP for Shaft Fracture (Fig. 9.13)
Postoperative Protocol
Complications
Conclusion
CHAPTER 10:
Rehabilitation
Adaptive Equipment
Parallel Bars
Walking Frames (Walker)
Crutches
Walking Sticks
INDEX
TOC
Index
×
Chapter Notes
Save
Clear