Hip fracture

Question 1

Location of hip fracture

Answer 1

intracapsular (subcapital): from the edge of the femoral head to the insertion of the capsule of the hip joint
extracapsular: these can either be trochanteric or subtrochanteric (the lesser trochanter is the dividing line)

Question 2

The Garden System for Hip fracture

Answer 2

Type I: Stable fracture with impaction in valgus
Type II: Complete fracture but undisplaced
Type III: Displaced fracture, usually rotated and angulated, but still has boney contact
Type IV: Complete boney disruption

Question 3

Intracapsular hip fracture

Undisplaced fracture treatment

Answer 3

internal fixation, or hemiarthroplasty if unfit.

Question 4

Displaced fracture management

Answer 4

young and fit i.e. <70 years - Reduction and internal fixation (if possible)
older and reduced mobility - hemiarthroplasty or total hip replacement

Question 5

Extracapsular hip fracture

management

Answer 5

dynamic hip screw

if reverse oblique, transverse or subtrochanteric: intramedullary device