Tom
@tom
· 2 weeks ago
#hipfracture Common osteoporotic fracture in elderly patients. Displaced intracapsular fractures risk avascular necrosis due to disruption of femoral head blood supply. #intracapsularfracture Fracture within the hip capsule (subcapital femoral neck fracture). Higher risk of blood supply compromise. #gardenI Impacted valgus fracture, stable. #gardenII Complete fracture, undisplaced. #gardenIII Displaced fracture with some remaining bony contact. #gardenIV Complete displacement with loss of bony contact. #undisplacedintracapsular Internal fixation. Hemiarthroplasty if unfit for fixation. #displacedintracapsular Replacement arthroplasty. #totalhipreplacement Preferred if independently mobile, cognitively intact, and medically fit. #hemiarthroplasty Used when THR criteria are not met. #extracapsularfracture Includes intertrochanteric (trochanteric) and subtrochanteric fractures. #stableintertrochanteric Dynamic Hip Screw (DHS). #reverseoblique Intramedullary nail. #transversefracture Intramedullary nail. #subtrochantericfracture Intramedullary nail. #keypoint Highest AVN risk in Garden III and Garden IV intracapsular fractures.
