Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Skeletal traction
0%
10/2611
Revision fixation of the femoral neck fracture
2%
63/2611
Hardware removal and placement of a sliding hip screw device
6%
155/2611
Hardware removal and hip arthroplasty
89%
2322/2611
Resection hip arthroplasty
52/2611
Select Answer to see Preferred Response
In the scenario of an elderly patient with questionable fixation into the femoral head and a non-healed femoral neck fracture, proper treatment is arthroplasty. In a physiologically younger patient, reduction and fixation of the fractures (femoral neck and subtrochanteric, if present) with methods such as a valgus producing osteotomy at the level of the subtrochanteric fracture are recommended. Figure A shows cannulated screw fixation of a right femoral neck fracture. The referenced study by Oakey et al evaluated strength of proximal femurs after cannulated hip screw placement and found that placement of an inverted triangle had a higher ultimate load to failure than placement in a standard triangle format (two screws distal).
3.5
(44)
Please Login to add comment