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For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding screw/plate device. In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplasty , replacing the broken part of the bone with a metal implant.
However, in elderly people who are medically well and still active, a total hip replacement may be indicated. Independently mobile older adults with hip fractures may benefit from a total hip replacement instead of hemiarthroplasty. [39] Traction is contraindicated in femoral neck fractures due to it affecting blood flow to the head of the ...
A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes , due to the large amount of force needed to break the bone. Fractures of the diaphysis , or middle of the femur, are managed differently from those at the head, neck, and trochanter ; those are conventionally ...
The Garden classification is a system of categorizing intracapsular hip fractures of the femoral neck. This fracture often disrupt the blood supply to the femoral head . British orthopaedic surgeon Robert Symon Garden [ fr ] described a classification system for this type of fracture, referred to as the Garden classification and consisting of ...
Moreover, pregnancy is a well-recognized risk factor for femoral neck fatigue fracture. While fibular and metatarsal fractures have a low risk of complications, other sites including the femoral neck, midanterior tibia, navicular, talar, and other intraarticular fractures are prone to complications such as delayed union, nonunion, and displacement.
An intracapsular fracture is a bone fracture located within the joint capsule. Examples of intracapsular fractures includes: Examples of intracapsular fractures includes: In the hip : Fractures of the femoral head and femoral neck .
[5] When compared to other stress fractures, anterior tibial fractures are more likely to progress to complete fracture of the tibia and displacement. [4] Superior femoral neck stress fractures, if left untreated, can progress to become complete fractures with avascular necrosis, and should also be managed surgically. [13]
X-ray showing the proximal portion of a fractured tibia with an intramedullary nail Proximal femur nail with locking and stabilisation screws for treatment of femur fractures of left thigh An intramedullary rod , also known as an intramedullary nail (IM nail) or inter-locking nail or Küntscher nail (without proximal or distal fixation), is a ...