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A trochanteric fracture, below the neck of the femur, has a good chance of healing. Closed reduction may not be satisfactory and open reduction then becomes necessary. [42] The use of open reduction has been reported as 8-13% among pertrochanteric fractures, and 52% among intertrochanteric fractures. [43]
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 distal capsular attachment on the femur follows the shape of the irregular rim between the head and the neck. As a consequence, the capsule of the hip joint attaches in the region of the intertrochanteric line on the anterior side, but a finger away from the intertrochanteric crest on the posterior side of the head. [4]
The neck is flattened from before backward, contracted in the middle, and broader laterally than medially. The vertical diameter of the lateral half is increased by the obliquity of the lower edge, which slopes downward to join the body at the level of the lesser trochanter, so that it measures one-third more than the antero-posterior diameter.
The Evans–Jensen classification is a system of categorizing intertrochanteric hip fractures based on the fracture pattern of the proximal femur. Classification [ edit ]
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 ...
The intertrochanteric crest is a prominent smooth bony ridge upon the posterior surface of the femur at the junction of the neck and the shaft of the femur; [1] together with the intertrochanteric line on the anterior side of the head, the intertrochanteric crest marks the transition between the femoral neck and shaft. [2]: 192
This class of procedure is most commonly performed on the hip after an intracapsular fracture of the femur neck (hip fracture). The procedure is performed by removing the head of the femur and replacing it with a metal or composite prosthesis. The most commonly used prosthesis designs are the Austin Moore and Thompson prostheses.