Hip Fracture Types & Fixation - Everything You Need To Know - Dr. Nabil Ebraheim
ฝัง
- เผยแพร่เมื่อ 16 ต.ค. 2024
- Dr. Ebraheim's animated educational video describes hip fracture types and the fixation.
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.
Follow me on twitter:
#!...
Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund:
www.utfoundati...
![[UNCUT]"ทนายตั้ม" แฉยับ! ความลับสวรรค์ ใครคือ "บิ๊กเทวดา" ของบอสพอล l คนดังนั่งเคลียร์ l 15 ต.ค. 67](http://i.ytimg.com/vi/ru9fpSaUwdA/mqdefault.jpg)
Informative for even none medical audience. Thank you!
plain and simple. Thank you sir for your lessons
Thank you so much Dr! Such a clear video and easily understandable.
Thank you for the video. I recently had orthopedic surgery for a fractured femur/tibia/fibula, I have a screw through the hip which holds the rod im place with screws above the knee and under the knee, One intramedullary rod through the Tibia as well with screws below the knee and in the ankle to hold it in place.
Could you please do a review on the surgery and healing process for femur/tibia/fibula intramedullary rod implantation?
Mine was Inter-trochanteric Regular using the Compression Hip Screw. I fractured it 18 years ago. That hardware was just removed in preparation for a total hip replacement in 12 weeks. Awesome to see what actually happens when it was broken.
Mine was also IT regular fracture before 5mnth ago. Kya apka pair bilkul thk ho gya normally kitne mnth lge
great sir
very nice simple informative and cocise
A VERY2 HELPFULL video. thank you very much sir.
My father got fracture last year june 2021 just below the heap neck and doctor performed the surgery also but after some days , a fluid starts coming out contl, and throughout tge year the problem continued, So it is infected implant case , then the rod (nail) needs to be removed out in order to control the infection. But after the nail removal surgery , the fractured bone is still not joined and now he can feel the fracture and the pain while sitting or walink by walker. So what could be the next procedure to be performed in order to make him walk again ?
My brother fractured his hip very painful and he was walking on it for 3 days. He had surgery (new ball and socket) 5 days later (delayed) It was displaced with his right foot rotated outward some. How much of a factor is delaying it that long on weather it can be repaired with screws vs total hip replacement? He was 57 and in good shape, he fell and twisted leg on the break.
Thank you sir love from India 🇮🇳
Thank you sir
thank you
Aoa sir my mother has fracture of neck of femur now her surgery total hip replacement but pache chubty hain Kia wo easily chl sken g routine work kr sken g plz tell
I have AVN problem in 2 stage can I go to the total hip replacement or not please help it's hurts pain in my hip
Thank you I think we can shall may ( or any suitable helping verb ) understand the rational meaning of bone dislocation
fractures and bone pains,
And understand the natural remedies ayurveda mardana truth and compassion based relaxation techniques to overcome bone problems and lack of ease
Sir I am 20 years old n I have been pining screw in my hip joint after fracture but after few month pain is started n it is so painful for me so PLZZ tell me what is solutions
Visit doctor
Nice and informative
70+age this regular fracture treatment available ?????
Helped so much!
Can someone tell me why I still cannot lay on my left side (where I had fractured my hip/ femoral about 9 months ago and I hear some clicking sounds too. And my achness(dull ache) goes to my left buttock too.
Thank you, ❤️
Same like u i can't sleep or sit on the left side
My grandma just had this surgery, she's 80. How long will it take for her to walk again?
How is she doing ? Any post op problems ?
She's just weaker, the surgery was successful and there were no complications. She just needs a completely revised diet because she can't digest many dishes and also can't have junk food. She can now walk too albeit with a walker
@@lilmuffin9253 : I’m glad that she’s doing well.. I wish her a speedy recovery.. thankyou for replying.. my mum is 88 & fell and needs a hip replacement & we’re worried because of her age.
@@crystalawen I undestand your worry as well. Did your mom end up going through with the surgery? How is she doing now?
@@kay9156 : Hi, she is recovering, Thankyou,, she had surgery & it was a success.. but they didn’t replace her hip in the end; they put a metal plate in and screwed the bone together, & they didn’t use general anaesthetic (they used an epidural) which made the op safer... she is back at home now and slowly recovering..
My father has just got broken hip right now And still He doesn't get any Treatment 😥😥😥😥😥😥
How is he
How is he now? You got treatment?
Just got surgery today im still confused why me a 14 year old broke my hip
Very young
It happened to me 2 weeks ago, I'm 15 lol I'm surprised too because it's rare for that to happen to a 15 year old while running
Get your vitamin D levels checked..
Oblique is pronounced "ob-leak". Otherwise great video as always, thanks.
Hello
Sir mujhe bataiye ki mera operation 22/05/2019 ko hua tha jisme femer haddi ko pin dwara joda gaya h mujhe kitna time lagega thik se chalne ke liye meri age 33 years h
5- 6 month
Sir hip up down please tell me and video
Hello please answer my question im dynamic hip screw what type of neck fracture i have. Dynamic hip screw for what fracture.
It can take over a year for hip pins to settle down. I had surgery a year & a half ago - I feel them occasionally but am no longer in pain. It takes time!!
How long till you start Walking?
आप हिंदी में बोलते तो हमारे भी समझ में आता हमें इतनी इंग्लिश नहीं आती
प्लीज हिंदी में बताएं
Ji
Sar Hindi mein speech
Hello I'm 19 year old boy i have displacement from hip bone but due to inadequate money i can't treat i need help please thanks
I did operation and is screwed and i want to be treated so that i can do my life activities please help . It's so painful to me.