Fractures of the Femoral Head

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Fractures of the Femoral Head

Position of the proximal femur Dislocation Full flexion, adduction, internal rotation Pure posterior dislocation Partial flexion, medium abduction, internal rotation Posterior fracture dislocation Hyperabduction, extension, external rotation Anterior dislocation Injury…

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Biomechanics of the Hip

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Biomechanics of the Hip

Activity Typical peak force (BW) Walking, slow 1.6 ± 4.1 Walking, normal 2.1 ± 3.3 Walking, fast 1.8 ± 4.3 Jogging/running 4.3 ± 5.0 Ascending stairs 1.5 ± 5.5 Descending…

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Intertrochanteric Hip Fracture: Intramedullary Nails

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Intertrochanteric Hip Fracture: Intramedullary Nails

Fig. 8.1 AO Classification system for intertrochanteric fractures. Adapted from “Tscherne Unfallchirurgie.” N.P. Haas, C. Krettek; [Per- and sub-trochanteric fractures]; Copyright Springer: Berlin, Heidelberg 2012 Several studies have shown superior…

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Anatomy of the Proximal Femur

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Anatomy of the Proximal Femur

Timepoint Milestone 4 weeks Limb buds form from ectodermal layer of ventrolateral wall 7 weeks Cartilaginous models of femur and acetabulum have developed from mesodermal layer. Apoptosis creates cleft between…

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Approaches to the Hip

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Approaches to the Hip

and Abhishek Ganta1   (1) Department of Orthopaedic Surgery, New York University – NYU Langone Orthopedic Hospital, New York, NY, USA     Abhishek Ganta Email: Roy.Davidovitch@nyumc.org Introduction Proximal femur fractures are a…

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Femoral Neck Fractures in the Elderly

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Femoral Neck Fractures in the Elderly

Fig. 6.1 Stable femoral neck fracture on the right side in a moribund patient, axial view (a) and pelvis ap (b). Patient was bedridden due to spinal stenosis and multiple…

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Subtrochanteric Femur Fractures

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Subtrochanteric Femur Fractures

Fig. 9.1 Anteroposterior (AP) radiograph exhibiting a comminuted subtrochanteric femur fracture with shaft extension. Note the proximal fragment in abduction, external rotation, and flexion, the typical appearance of this fracture…

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Femoral Neck Fractures in the Young

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Femoral Neck Fractures in the Young

Fig. 5.1 The distribution of young hip fractures by 10-year cohorts according to mechanism of injury, as presented by Duckworth et al. [5] (Reproduced with permission and copyright © of…

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Intertrochanteric Femur Fractures: Plates and Screws

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Intertrochanteric Femur Fractures: Plates and Screws

Fig. 7.1 Evans classification of intertrochanteric hip fractures; division of stable fractures suitable for plates and screws and unstable fractures Initial diagnostic studies should include an AP and cross-table lateral…

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Ipsilateral Femoral Neck and Shaft Fractures

Jan 31, 2018 by in ORTHOPEDIC Comments Off on Ipsilateral Femoral Neck and Shaft Fractures

Fig. 11.1 Ipsilateral femoral neck and shaft fracture treated with a sliding hip screw with antirotation screw, followed by retrograde nail fixation of the shaft component Surgical Technique When employing…

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