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Proximal Femur Fractures: Causes and Complications
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Proximal Femur Fractures: Causes and Complications
1.
Clinical Anatomy of
Proximal Femur Dr. Khushwant Singh Rathore Department Of Orthopedics All India Institute Of Medical Sciences, Jodhpur
2.
What is intra-capsular
neck femur fracture?
3.
What is extra-capsular intertrochanteric
femur fracture?
4.
What is sub-trochanteric
fracture?
5.
Why they behave
differently? Intra-capsular Fracture Non-union Osteonecrosis Extra-capsular fracture Mal-union shortening Sub-trochanteric fracture Nonunion Varus deformity
6.
Lessons from Anatomy
7.
Why neck femur
fracture goes into osteonecrosis?
8.
Direct disruption of the
intra- capsular arteries End arterial blood supply
9.
Intra-capsular Tamponade Ischemia & Nonunion
10.
Synovial Fluid Dilution of fracture hematoma Collagenases Angiogenesis inhibitors
11.
12.
Problems with intertrochanteric fractures(Extra-capsular#)
Vascularity is not an issue – problem of plenty Cancellous bone – Union is not an issue Issue is Mal-union & Coxa vara
13.
Displacing forces in
intertrochanteric fractures
14.
15.
Problems with sub-trochanteric fracture? Deforming
muscle forces (arrows) acting on a subtrochanteric femur fracture. Antero- posterior view showing varus deformity caused by strong abductors acting on the proximal segment (A). Lateral view showing flexion caused by iliopsoas (B).
16.
Clinical application of
relevant anatomy
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