Femur, proximal



10.1055/b-0034-87631

Femur, proximal


Classification




  • The Müller AO Classification 332


Introduction




  • 16.1 Femur, proximal—introduction Suthorn Bavonratanavech 333



  • 1 Introduction 333



  • 1.1 Incidence 333



  • 1.2 Current methods of treatment 333



  • 1.3 Indications and contraindications for MIPO 333



  • 2 Surgical anatomy 334



  • 3 Aims of fracture reduction 335



  • 4 Preoperative assessment and timing for surgery 336



  • 5 Preoperative planning 336



  • 6 Operating room setup 337



  • 6.1 Anesthesia 337



  • 6.2 Patient and image intensifier positioning 337



  • 6.3 Instruments and implants 338



  • 7 Operative procedure 338



  • 7.1 Surgical approach 338



  • 7.2 Reduction techniques 339



  • 7.3 Fixation 339



  • 8 Postoperative care and rehabilitation 341



  • 9 Pitfalls 341



  • 10 Pearls 342



  • 11 Reference 342



  • 12 Further reading 342


Cases




  • 16.2 Femur, proximal: extraarticular fracture, intertrochanteric—31-A3 and complex spiral diaphyseal fracture—32-C1 Suthorn Bavonratanavech 343



  • 16.3 Femur, proximal: extraarticular fracture, trochanteric area pertrochanteric simple—31-A1 Suthorn Bavonratanavech 351



  • 16.4 Femur, proximal: extraarticular fracture, pertrochanteric, multifragmentary—31-A2 Theerachai Apivatthakakul, Suthorn Bavonratanavech 359



  • 16.5 Femur, proximal: extraarticular fracture, intertrochanteric—31-A3 and wedge diaphyseal fracture—32-B1 Suthorn Bavonratanavech 365



Classification


According to the Müller AO Classification, the proximal femur is identified by the number 31.


Fractures of the proximal femur are divided into three groups: Type 31-A: extraarticular fracture, trochanteric area Type 31-B: extraarticular fracture, neck Type 31-C: articular fracture, head For the purpose of discussion in this chapter, subtrochanteric fractures are also included (Müller AO Classification: 32-A, B, or C) as the same principles and techniques apply when performing MIPO for these fractures.



The Müller AO Classification

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Jul 2, 2020 | Posted by in ORTHOPEDIC | Comments Off on Femur, proximal
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