Femoral Neck Fracture

Topic

Trauma - LL

Podcast

048

Updated

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Trabecular groups of the proximal Femur?

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Management of elderly hip fracture?

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When will you do surgery for elderly hip fractures?

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What is the mortality rate after an elderly hip fracture?

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How soon do you want to operate on this patient?

SCENARIO: OLD UNDISPLACED NOF #

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How will you manage surgically an undisplaced NOF#? Evidence?

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What device will you use for undisplaced NOF #?

SCENARIO: OLD DISPLACED NOF #

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How will you manage?

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Hemi or Total? Evidence for your decision?

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What approach to replace this fractured hip?

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What is your choice of implant?

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Composite Beam vs Taper Slip?

SCENARIO: YOUNG NOF #

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Classification = Pauwel's

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How will you proceed with closed reduction?

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What is the Leadbetter maneuver?

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How can you check it is reduced? 3 tests

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What approach will you use for open reduction?

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What choice of implants?

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What is the Pauwel's screw configuration?

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Augmentation Options?

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Role of capsulotomy?

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Will you rush the patient into theatre? What is the evidence for timing?

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What are the poor prognostic factors in Young NOF #?

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What is the overall risk of AVN in young NOF?

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How will you place the screws?

SCENARIO: PREVIOUS NOF # ➔ Nonunion or AVN

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How many of them will develop AVN?

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How will you evaluate this nonunion?

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What are your options for salvage in nonunion?

SCENARIO: NECK + SHAFT #

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What implant configuration?

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What is your fixation technique?

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Doing wrong is like a joke to a fool, but wisdom is pleasure to a man of understanding. Proverbs 10:23