Reverse Oblique Hip Fractures - Everything You Need To Know - Dr. Nabil Ebraheim

Video Description

Dr. Ebraheim’s educational animated video describes the reverse oblique fractures.

A reverse oblique fracture is an unstable fracture that really is not a classic intertrochanteric fracture. It is not a true classic hip fracture. You should think of it as a subtrochanteric fracture with all its difficulties and complications. The fracture is almost parallel to the inferior neck. The fracture starts form medial proximal to lateral distal and extends to include the lateral cortex distally.
Treatment:
•Intramedullary nail (long or short).
•Fixed angle device: fixed angle device such as dynamic condylar screw and blade pate (rarely used). Proximal locking plate- easy application but has a high failure rate. Used if the piriformis fossa is disrupted.
•Dynamic hip screw is a bad choice of implant. It will lead to medial displacement of the shaft secondary to the pull from the hip adductor muscles. It can also lead to shortening, nonunion and failure of implant. This fracture is unstable. Dynamic hip screw may not compress the fracture, in fact, it may displace and distract the fracture.



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Background music provided as a free download from YouTube Audio Library.
Song Title: Every Step