• science of fitness
  • info@assicfitness.com
  • My account
  • Cart

assic fitness and health white logoassic fitness and health white logoFractures Around The Hip JointFractures Around The Hip Joint

  • Home
  • Applications
    • Resting Heart Rate
    • Recovery Heart Rate
    • Fitness
    • Medical Examination
    • Performance Fingerprint
    • Professional & Team Management
    • Strength and Conditioning
  • Health Professionals
    • Find your Professional
    • Book a Professional
    • Book a Class
  • Education
    • Know your Body
      • Body profile
      • Cardiac
      • Exercise/Rehab Routines
      • Fitness
      • Fluid Balance
      • Muscle
      • Joint/Tendon
      • My Surgery
      • Yoga
      • Nutrition
    • Blog
      • Articles
      • Monthly Routines
      • News and Opinion Pieces
    • COVID-19
      • What You Need to Know
      • Overview of COVID-19
      • COVID-19 Map
    • How to Use the Apps
      • Performance Fingerprint
      • COVID-19 Vitals
      • Connecting Professionals
    • Biomarkers
      • COVID-19
      • Infection/Inflammation
      • Endurance
      • Hydration
      • Performance Fatigue
      • Metabolism
      • Muscle Cramps
      • Nutrition
    • Medical
      • Ankle
      • Hip
      • Knee
      • Shoulder
      • Back
  • Health Calculators
  • About
    • Contributors
      • Become a Contributor
    • Partners
      • Lancet Laboratories
    • Professionals
    • Press
    • Professional Dual View Access Application
  • Contact

Fractures Around The Hip Joint

Categories
  • Hip
  • Joint/Tendon
Tags
  • Hip injuries
Hip

Blood Supply of Proximal Femur

Proximal femur
Blood supply of proximal femur

Proximal Femur Regions

Proximal Femur Regions

Proximal Femur Fracture Types

Proximal femur fracture types
Proximal femur fracture types

Pipkin Classification for Femur Head Fractures

Pipkin Classification for Femur head fractures
  • Type Ⅰ: Fracture below fovea (does not involve weight bearing area)
  • Type Ⅱ: Fracture above fovea (involves weight bearing area)
  • Type Ⅲ: Type Ⅰ or Type Ⅱ with associated femoral neck fracture
  • Type Ⅳ: Type Ⅰ or Type Ⅱ with associated acetabulum fracture (usually posterior wall)

Surgery Screw Fixation for Head of Femur Fractures

Head screw fixation

Surgery Screw Fixation for Head of Femur Fractures and Fixation of Associated Fractures

Screw fixation for head of femur

Garden Classification for Neck of Femur (NOF) fractures

Garden Classification for Neck of Femur (NOF) fractures
  • Type Ⅰ: Incomplete valgus impacted
  • Type Ⅱ: Complete, non-displaced
  • Type Ⅲ: Complete, incompletely displaced
  • Type Ⅳ: Complete, completely displaced

Pauwels Classification for Neck of Femur fractures

Pauwels Classification for Neck of Femur fractures
  • Type Ⅰ: Angle subtended by horizontal & fracture on AP radiograph <30°
  • Type Ⅱ: Angle subtended by horizontal & fracture on AP radiograph is between 30° & 50°
  • Type Ⅲ: Angle subtended by horizontal & fracture on AP radiograph ≥50°

Surgery Considerations for Neck of Femur Fractures

  • Screw fixation
  • Dynamic hip screw fixation
  • Hip arthroplasty: Total hip arthroplasty or hemi-arthroplasty
Surgery considerations for neck of femur fractures

Surgery Screw Fixation for Neck of Femur Fractures

  • Nondisplaced transcervical
  • Garden Ⅰ/Ⅱ
  • Young person with displaced NOF fracture requires urgent reduction and internal fixation
Surgery screw fixation for neck of femur fractures
Screw fixation:

Start with inferior screw along calcar followed by Posterior superior screw and then Anterior superior. A 4th screw considered for posterior fracture comminution.

Hip Arthroplasty for Neck of Femur Fractures

  • Older patient with Garden Ⅲ/Ⅳ
  • Pre-existing hip arthritis
  • Total hip arthroplasty versus hemiarthroplasty considered for <85yrs and/or no comorbidities
Left total hip replacement with ceramic femoral head

Left total hip replacement with ceramic femoral head

Left total hip replacement with metal femoral head

Left total hip replacement with metal femoral head

Download ASSIC Performance Fingerprint or Strength & Conditioning apps for post hip replacement guideline rehab routine

apple app store  google play store

Hip Replacement Surgery Technique after Neck of Femur Fracture

Hip replacement surgery technique after neck of femur fracture

Post Hip Replacement Complications

Post hip replacement complications

Outcome

  • 1-year mortality after a hip neck fracture is 20-30%

Pertrochanteric Fracture

Pertrochanteric fracture

Surgery Fixation for Pertrochanteric Fractures

Surgery fixation for Pertrochanteric fractures

Pertrochanteric fractures can be managed with Dynamic hip screw fixation

Intertrochanteric fracture

Intertrochanteric fracture

Evans Intertrochanteric Fracture Classification

Evans Intertrochanteric fracture classification

AO Classification of Intertrochanteric Fractures

AO Classification of Intertrochanteric fractures

Surgery Fixation for Intertrochanteric Fractures

Surgery fixation for intertrochanteric fractures

Stable Intertrochanteric fractures require Dynamic hip screw fixation

Tip apex distance (TAD)

Tip apex distance >25 mm has an increased risk of implant failure
Risk of implant failure is associated with:

  • Increased TAD> 25mm
  • Osteopaenia
  • Advanced age
  • Varus malalignment
Tip apex distance (TAD)

The sum of the distances from the centre of femur head to tip of the screw on AP
and lateral X-rays views

Surgery Fixation for Unstable/Reverse Obliquity Intertrochanteric Fracture

Unstable intertrochanteric fractures

Unstable intertrochanteric fractures (reverse obliquity or segmental base configuration) require Nail and screw fixation

Authors choice long nail and screw fixation

Authors choice long nail and screw fixation

Subtrochanteric Fracture

Subtrochanteric fracture

Surgery Fixation for Subtrochanteric Fractures

Surgery fixation for Subtrochanteric fractures

Subtrochanteric fractures are managed with Nail and screw fixation

References

  1. Grisso JA, Kelsey JL, Strom BL, Chiu GY, Maislin G, O’Brian LA, Hoffman S, Kaplan F. Risk factors for falls as a cause of hip fractures in women. The Northeast Hip Fracture Study Group. Engl J Med. 1991;324: 324-1331.
  2. Management of acute hip fracture. Bhandari M, Swiontkowski M. N Engl J Med. 2017 Nov 23;377(21): 2053-2062.
  3. Hip fracture: diagnosis, treatment, and secondary prevention. LeBlanc KE, Muncie HL Jr, LeBlanc LL. Am Fam Physician. 2014 Jun 15;89(12): 945-51.

Contributor:

Prof S Maqungo

Learn More

Related posts

Shoulder
April 1, 2021

Calcific Tendinitis


Read more
Ankle
March 24, 2021

Morton’s Neuroma


Read more
Knee Anatomy & Examination
March 19, 2021

Bipartite Patellar


Read more
Knee Anatomy & Examination
March 15, 2021

Discoid Meniscus


Read more
assic fitness and health white logo

ASSIC is a pioneering technology based Sports Science Company designing tools to assist in personal fitness management for individuals and professional athletes.

Education

  • Home
  • Applications
  • Health Professionals
  • Education
  • Health Calculators
  • About
  • Contact

Our Applications

  • Resting Heart Rate
  • Recovery Heart Rate
  • Fitness
  • Strength and Conditioning
  • Performance Fingerprint
  • Medical Examination

Download our Applications

apple app store
google play store
© 2021 ASSIC Medical (PTY) Ltd. All Rights Reserved. Created and Hosted by: Lava Lamp Lab
  • My account
  • Cart
Change Location
To find awesome listings near you!