Podcast
Questions and Answers
What is a significant complication of a femoral neck fracture?
What is a significant complication of a femoral neck fracture?
Subtrochanteric fractures are less prone to malunion than femoral neck fractures.
Subtrochanteric fractures are less prone to malunion than femoral neck fractures.
False
What are the recommended surgical methods for treating displaced intracapsular fractures?
What are the recommended surgical methods for treating displaced intracapsular fractures?
ORIF (Open Reduction and Internal Fixation)
A prolonged bedrest after a hip fracture can lead to _____, which is the most common complication in the elderly.
A prolonged bedrest after a hip fracture can lead to _____, which is the most common complication in the elderly.
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Match the types of fractures with their associated complications:
Match the types of fractures with their associated complications:
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Which factor does NOT influence the choice of treatment for hip fractures?
Which factor does NOT influence the choice of treatment for hip fractures?
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Total Hip Arthroplasty is indicated for uncomplicated fractures.
Total Hip Arthroplasty is indicated for uncomplicated fractures.
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Name a conservative management option for a fractured greater trochanter with a displaced fragment less than 1 cm.
Name a conservative management option for a fractured greater trochanter with a displaced fragment less than 1 cm.
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_____ are used as fixation devices in surgical management of hip fractures.
_____ are used as fixation devices in surgical management of hip fractures.
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Which of the following is a goal of medical/surgical treatment for hip fractures?
Which of the following is a goal of medical/surgical treatment for hip fractures?
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Study Notes
Femoral Neck Fracture (Intracapsular)
- Blood supply disruption can lead to avascular necrosis
Subtrochanteric Fracture
- Malunion, delayed union, and nonunion vascular necrosis can occur
- Cortical bone of the proximal femur has decreased blood supply
- Subtrochanteric area is prone to significant biomechanical stresses that may lead to loosening of fixation devices
Hip Fractures - Surgical Management
- Open Reduction and Internal Fixation (ORIF) is indicated for:
- Intracapsular femoral neck fractures
- Fracture/dislocation of the femoral head
- Intertrochanteric fractures
- Subtrochanteric fractures
- Treatment choice depends on:
- Patient's age
- Fracture location
- Bone quality
- Fracture severity (simple, displaced, comminuted)
- Patient's activity level
- Associated soft tissue injuries
- Goals for patient's return to activity
Hip Fractures - Complications and Medical/Surgical Treatment
- Complications:
- Avascular necrosis
- Malunion, delayed union, and nonunion (subtrochanteric fractures)
- Prolonged bedrest can lead to:
- Deep vein thrombosis (DVT), the most common complication after a hip fracture in elderly patients
- Pneumonia
- Urinary tract infections (UTIs)
- Medical/Surgical Treatment:
- Goal: return to pre-fracture status as soon as possible
- ORIF - pins, plates, screws, nails
- Total Hip Arthroplasty
- Conservative management:
- Bedrest, traction, and restriction of weightbearing for a fractured greater trochanter with a displaced fragment less than 1 cm
- Traction, splinting, and nursing care for non-ambulatory individuals and/or patients with dementia with limited pain perception
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Description
This quiz focuses on different aspects of hip fractures, particularly femoral neck and subtrochanteric fractures. It covers blood supply issues, surgical management options, and potential complications. Test your understanding of the key concepts related to these injuries and their treatments.
