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Flashcards in fractures hip treatment Deck (19):
1

3 types of hip fractures

1. neck
2. intertrochanteric
3. sub trochal

2

3 main epi of hip fracture

1. age
2. metabolic bone disease
3. falls

3

4 reasons hip can be a problem

1. precarious blood supply
2. delicate retinacular vessels
3. art. cart. cover
4. significanc force transmission

4

4 classes of hip fracture

Garden 1-4
1-2: relatively stable
3-4: unstable

5

2 main Sx

1. PAIN!
2. inability to ambulate

6

4 signs

1. if displaced -deformed
2. short
3. externally rotated
4. guarding_+++

7

initial treatment

1. admit
2. apply skin traction
3. optimize concurrent disesase
4. plan surg
5. rehab program

8

4 goals of surgery

1. pain releif
2. reduce deformity
3. promote union
4. early ambulation

9

when to use screw fixation

- sub capital fractures
- must not penetrate joint
- non-union ca occur

10

when to use screw-plate fixation

- inter and subtrochanteric fractures
- larger incision and blood loss

11

what is primary arthroplasty

joint replacment
- definitive
- early weight bearing
- limited longevity
- infection risk

12

4 indications for joint replacement

1. displace subcapital - >70yo
2. patho fracture due to tumor
3. co-existant arthopathy
4. head splitting fracture

13

2 types of replacements

1. hemi - head and neck
2. total

14

4 local complications

1. intra-operative injury
2. infection
3. non-union
4. osteonecrosis

15

3 regional complicaitiokns

1. DVT
2. decubitus ulcers
3. deformity ad stiffness

16

6 systemic complications

1. pulmonary
2. confusion
3. PE
4. UTI
5. 10-15% mortality in year 1
6. loss of indep.

17

3 prosthetic complications

1/ dislocation
2. loosening of prosthesis
3. acetabular wear

18

5 prognostic factors

1. age
2. quality of reduction
3 severit of intial fracture
4. fixation device
5. general health

19

4 prevention strategies

1. bone loss preventions
2. home safety
3. walking aids
4. special garments

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