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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 ...
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.
The upper extremity, proximal extremity or superior epiphysis of the femur is the part of the femur closest to the pelvic bone and the trunk. It contains the following structures: Femoral head including the fovea; Femur neck; Greater trochanter; Lesser trochanter; Intertrochanteric line; Intertrochanteric crest; Trochanteric fossa; Linea ...
Shepherd's Crook deformity is a severe form of coxa vara where the proximal femur is severely deformed with a reduction in the neck shaft angle beyond 90 degrees. It is most commonly a sequela of osteogenesis imperfecta , Paget's disease, osteomyelitis, tumour and tumour-like conditions (e.g. fibrous dysplasia ).
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 ...
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 .
The Evans–Jensen classification is a system of categorizing intertrochanteric hip fractures based on the fracture pattern of the proximal femur.