Hip Fractures, Types and fixation - Everything You Need To Know - Dr. Nabil Ebraheim
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- เผยแพร่เมื่อ 9 มิ.ย. 2011
- Dr. Ebraheim’s educational animated video describes fractures of the Hip, types, signs and symptoms, etiology and specific fixation methods.
This is a quick review of hip fracture types and its fixation.
Femoral neck fracture (subcapital fracture)
•High incidence of avascular necrosis (AVN) and nonunion.
•High mortality rate in the elderly.
Treatment:
oNondisplaced: pinning by cannulated screws for the young and elderly patients.
oDisplaced in young patients: open or closed reduction followed by pinning with cannulated screws.
oDisplaced in elderly people: prosthesis (bipolar, unipolar or total hip).
oIt is not advisable to do closed reduction and screw fixation in displaced subcapital fractures in the elderly.
Intertrochanteric fracture
Two types:
1-Regular :
•Reduction
•Compression hip screw
•Intramedullary nail (Long, short): if a long nail is used, make sure you do not perforate the anterior cortex of the distal femur.
2-Reverse oblique: affects the lateral cortex of the femur
Treatment:
•Intramedullary nail
•Blade plate
•Fixed angle plate
•IM rod: done in majority of cases
•Compression hip screw: do not use. Medial displacement of the fracture due to pull from the adductor muscles. Compression hip screw is not a suitable device for reverse oblique fractures.
Subtrochanteric fracture
•The fracture line extends distally to the lesser trochanter
•High-stress load
•Common occurrence of nonunion
•The subtrochanteric region has a hard cortical bone that does not heal very well.
Treatment:
•Intramedullary nail
•Compression hip screw: not commonly used, higher chance of nonunion.
•You may want to do this case closed in order to preserve the blood supply and the healing ability of the fracture.
Thank you Dr, I found this helpful with my hip fracture treatment. You are patients are lucky!!!!
Thank you, Spread the word!
Looks like a big decision needs to be made, according to what type of fixation to be used. Age and type of fracture that the patient has is very important in knowing how to fix the hip. Great Video!
Great video. Perfect explanation for my surgical technology students! Thanks!!!
very nice and useful video.... thank you
excellent video! thank you!
Thank you! More to come, spread the word
Can you contact me please I need your help. Thank you .
glad you like it
great video!
Best for beginners.
thanks for this video.. really interesting..
This is great, thanks much. Orthopaedics is not my favourite rotation but this makes it bearable.
quite informative video,it is exactely educational one,every one can understand the treatment in few minutes,weather patient or any one else,buckup.
THANKS
awesome~!!
as a assistant madical officer..i like it!!!
Hi..If its just a crack in Femur neck in elderly people(83yrs old...weight 32kgms)..what treatment would be required?
yeah, i think i will get rid off it in a couple of years cause i also feel weird with a strange thing inside of my body, plus I'ts very heavy and big that metal thing... thanks for the message!
I had accident in 2013 and i got type 1 hip fracture. and now, i live with total hip treatment for the rest of my life. i can walk again and do my daily routines, but i can't running or sprint anymore.
it feels like i never broke my hip. LOL
Fractured my Lesser Trochanter which is the tiny bone shown in this video that looks like a lump on the bone.
So far its has been a painful process, surgery, anchors, and a lot a lot of rest. I'm thinking of making a video explaining everything about it so if you want to find out more, just subscribe:)
thanks so much sir.
GOOD
@nebraheim thanks
sono a cinque mesi dall'operazione ma cammino ancora con una stampella anche se dicono che la frattura è guarita, sento le viti sul lato operato e ancora non cammino con le mie gambe! controllo fine mese e vediamo!
no sound?
@thegigimiller THANKS ,SPREAD THE WORD
Sir my father suffering from inter trochontric femur bone fracture age 57 bpl family sir from ap state he is eligible for physically handicapped certificate sanctioned or not.
Were is the hospital
@anandvich thanks
@juandark85 you will do well
it is not a bad fracture
SOUND PLEASE???? EXCELLENT THOUGH.
There should be sound also.
My grandmother slipped in the restroom on yesterday. I took xray Dr. Said to my grandma to meet this operation which you post in the vides. She's 78years old. That ok or not
Hey how is she now?
I had a trochanteric fracture (regular) but there was no displacement of the bond, i was skating an a bicycle ran over me (idiot!) i had a surgery 20 days ago with compression hip screw 1:30 .. im recovering i have my next checking next week, id like to know what cares should i have cause my doctor didint mention too much, just using crutches and wait for the checking :)
same with me what precations i have to take
Hello dr. Nabil i wish to send you my X ray im neck femur fracture now im 9 weeks post op orif dynamic hip screw. Is it dynamic hip screw for extracapsullar neck fracture. How i can send you my x ray via email im worried want to know the prognosis of mine.
@Belkut86 THANKS
I have an avulsion fracture in my hip it's been six weeks since I've injured it next week I have another x-ray and I'm probably not going to be back to normal till early November😧 I'm so bored😱😞😫😣😕😐😑 by the way I pulled the bone of about 4 cm
My right total hip replacement ended with a fracture the next day a plate and rods put in its been 8 days my swelling when i sit up its worse n worse by the day its so swollen it feels like my knee is gonna dislocate im only 38 im scared my regab think im not trying but i deeply want to live a norm life again any word on a rough statistic when will it go down im scared im going to die because of it doctors nnurses wont take me seriously help me
sir my father has inter trochentric regular fracture and treated with rod, can this be cured> , as he is 70 years, fracture was not so much large,
Apke papa kitne mnth me normal ho gye the
I have also same fracture
@@Yadavmonika1994 15 months
@@waseemullah5923 proper fracture kitne mnth me jud gya pura
@@Yadavmonika1994 exact 3 months
Sir can I ask you something
@kaleidoscopekay thanks
im already walking!, las month (june) i abandone my stick after abandoning the last crutches on may!... now just need to recover mass volume and strenght on the muscle and i'll be fine.. but yes it was a long process... six months!, my doctor said 8 months though! :)
I fractured my hip a month or two ago and my doctor said I was supposed to take therapy but never did!!! Now my hip is fine but I don't get how though... And I'm 13 going 14 this year. Did my hip like magically heal??? Or was the fracture like smaller than those?
Ariana McGregor Jesus will do it, He is that extraordinary. Praise God for your healing baby girl.💞
Ashley N Jack Ashley
nothing to do with ur Lord bro she was 13 years old and her bones recover extraordinary fast in this age
Ariana McGregor
Can I ask which type of broken hips did u had in above video ?
Did u had surgery and what type?
How long it take u to be good to run ?
And last one , did they take the metals and screw out of there if it was any ?
Because I broke my hips 3 nights a go , had my operation in 2 hour after and now I just got home
Can u make my mind clear
my doctor said i had to use the crutches for at least 8 months, next May will be the forth and probably i'll be able to use just one crutch.... does it really take so much time the recovering, it is abad fracture!!!!
juandark85 hw long u been in crutches..bz recently i underwent proximal im nail fixation for ma neck and shaft fracture..its already 7 weeks up.recent neck xray shws a good healing.eventhough i worried.
Hey how r you now?
I fractured my hip ball ye bahut kam h so doctor said me in this apn ko traction use krna hoga 1 month k liye so plz aap esi exercise batao sir jis se m jldi sahi ho jao my exidend date is 26/6/18 plz help me sir or if u talk with me personally u can say m I will give my no. And my age is 16 year old sir please help me 😥😣😣😣😫😫😭😭
no sound??
Good. Evening. Doc i suffered Fracture in my left hip I got result M. R I Need operation. but due Corona they said Stop of operation since. January till this month is not. Danger. Doc for long time waiting as of now i continue working as. A sales. I need your advice Thank you
Hello mam. Are you Filipina?
@@thebestkeptsecret2263 yes iam but i got operation last year aug /21 as of now doing theraphy thank you Dear Good day
@@chonadeleon9255 do you speak Tagalog mam? I also got hip fracture and had dynamic hip screw. You also had one?
@@thebestkeptsecret2263 oo po naoperehan na po ako im okey na salamat dear
@@chonadeleon9255 ako po Kasi mam ika 6 months ko. Normal lang po ba may discomfort pdin? Kelan ka po nkpg lakad ng normal without limp? Plano ko din po kasi patanggal ung screw once nag heal na.
Asslamu Alaikum Dr. Ebrahim sir please your hospital address
@Nickliu2010 thanks
@chinafox1 thanks
What would have happened if the 69-year-old with hip fractured is not undergo surgery.
That is what I want to know
Looks like I am getting screws.
My father broke her hips 😭😭
Please help me🙏🙏😭😭
@daniela56dio THANKS
No sound
Ye 90 age ko possible hai
Dr address chopandi pleeee
get x rays
check healing
@batmatt11 drink a lot of milk
Mmm hi
very nice and useful video.... thank you