INTRACAPSULAR HIP FRACTURES

if undisplaced blood supply assumed to be uninjured and fracture just needs to be fixed with 3 screws (usually cannulated if blood supply is good)
if displaced then blood supply interrupted leading to avascular necrosis so head needs to be removed and replaced (except in young people)
- hemi-arthroplasty for less mobile elderly patients and a full arthroplasty for active patients
- try to preserve own hip in young patients with screws as prosthetics do not last

INTER-TROCHANTERIC FRACTURES: dynamic hip screw: controlled collapse of fracture until it stabilises

FRACTURES DOWN FEMUR: IM device

FEMORAL SHAFT FRACTURES: usually IM nails although can use external fixation, plating or traction

	Created by Omolade Abidoye about 6 years ago

Surgery Note on Surgery CBL4: Lower Limb Fractures, created by Omolade Abidoye on 13/11/2018.