Fraktur intertrochanteric femur pdf

The purpose of this article is to describe a novel technique of valgus subtrochanteric osteotomy for proximal femur nonunion. Doctor answers on symptoms, diagnosis, treatment, and more. Compression hip screws are best used in stable fracture patterns and are associated with low rates of complications when properly positioned within the center of the femoral head. Pdf surgical treatment of femur intertrochanteric and.

Kanchana registrar in surgery teaching hospital peradeniya 2. Because of this and its protective surrounding muscle, the femoral shaft requires a large amount of force to fracture. Simultaneous bilateral intertrochanteric fractures of the. Ihle on intertrochanteric fracture pathophysiology. Femoral neck fractures abstract during the past 10 years, there has been a worldwide effort in all medical fields to base clinical health care decisions on available evidence as described by. Fiveyear outcome analysis of intertrochanteric femur. The simple intertrochanteric femur fracturewhat could go wrong.

The importance of the cortical buttress of bone on the inner side of the femoral neck and shaft is stressed. Fracture line extends upwards and outwards from the lesser trochanter stable. Successful management of these patients involves adequate resuscitation, treatment of associated injuries, early singlestage stable fixation, and good rehabilitation. Top 21 on intertrochanteric fracture pathophysiology. Intertrochanteric femur fractures account for approximately 250,000 fractures per year and represent a growing public health concern with the aging population in the united states. The treatment for unstable intertrochanteric femur fractures is unclear and has been associated with a mechanical complication rate of 0% to 20% 3, 21, 24, 28, 40, 45. The medical community divides the femur into multiple different regions and a fracture can occur in any of these areas. These fragility hip fractures occur in a characteristic population with risk factors including increasing age, female gender, osteoporosis, a history of falls, and gait abnormalities 3. Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. A hip fracture is a break that occurs in the upper part of the femur thigh bone.

Fraktur femur merupakan hilangnya kontinuitas tulang paha dan kondisi fraktur femur secara klinis bisa berupa fraktur femur yang disertai dengan adanya kerusakan jaringan lunak seperti otot, kulit, jaringan saraf dan pembuluh darah helmi, 2012. If you would like a large, unwatermarked image for your web page or. They were selected because of their high surgical risk, and evaluated by radiographs immediately after operation, and at 30 and 90 days. The incidence of intertrochanteric fractures is gender and racedependent and varies from country to country. Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. Nail or plate fixation of intertrochanteric hip fractures. Femur, proximal end segment, trochanteric region, intertrochanteric reverse obliquity fracture 31a3.

Create healthcare diagrams like this example called evans classification of intertrochanteric fractures in minutes with smartdraw. Brian mullis, md chief, orthopaedic trauma service disclosure educational speaker synthes research synthes outline the right implant positioning reduction avoiding malalignment tipapex distance nailbow mismatch interlocks. Internal fixation of intertrochaneteric femur fractures using a cephalomedullary nail with either a single screw or an integrated 2. The compression hip screw has become the predominant method for osteosynthesis of intertrochanteric fractures. Etiologi penyebab fraktur secara fisiologis merupakan suatu. Xray of the left proximal femur demonstrates typical features of an intertrochanteric fracture. It varies in time before it becomes visible on an xray. Intertrochanteric fractures account for about 50% of proximal femur fractures egol 2010 female to male ratio is 3.

Femur, proximal end segment, trochanteric region, multifragmentary pertrochanteric, lateral wall incompetent. A comparison of the long gamma nail with the sliding hip. Subtrochanteric and intertrochanteric treatment with plate orif peritrochanteric femur fractures extracapsular hip fractures involving the trochanter and frequent extension into the subtrochanteric region evaluate for pathologic fracture if radiographs or medical history indicate incidence elder patient population. Aoota classification pdf ao surgery reference ao foundation. Lecture 4 of 4 on proximal femur fractures adapted from ota lecture series. Smartdraw includes s of professional healthcare and anatomy chart templates that you can modify and make your own. Berikut ini adalah download jurnal gratis yang merupakan kumpulan file dari berbagi sumber tentang fraktur intertrochanteric femur jurnal yang bisa bapakibu gunakan dan diunduh secara gratis dengan menekan tombol download biru dibawah ini. Desjardins al, roy a, paiement g, newman n, pedlow f, desloges d, et al. Berikut ini adalah download jurnal gratis yang merupakan kumpulan file dari berbagi sumber tentang fraktur femur pdf yang bisa bapakibu gunakan dan diunduh secara gratis dengan menekan tombol download biru dibawah ini. Nevertheless, the stress of the injury, and a likely surgery, increases the risk of medical illness including heart attackstrokeand chest infection. Some of the factors found to be associated with a patient sustaining an intertrochanteric rather than a femoral neck fracture include advancing age, increased number of comorbidities, increased dependency in activities of daily living, and a history of other. Extracapsular fractures of the proximal femur between the greater and lesser. Kejadian fraktur femur didunia mengalami peningkatan dari 1,7 juta menjadi 6,3 juta. The stability score of the intramedullary nailed intertrochanteric fractures.

Management of intertrochanteric fractures of the femur preston a. There is a greater trochanter on the outside and a. Intertrochanteric means between the trochanters, which are bony protrusions on the femur thighbone. Valgus sliding subtrochanteric osteotomy for neglected.

In a prospective study we assessed the causes of mechanical failure in a series of 230 intertrochanteric femoral fractures which had been internally fixed with. Risk factors include osteoporosis, taking many medications, alcohol use, and metastatic cancer. Depending on when this happened would help explain the findings. The intertrochanteric proximal femoral fractures account for a significant amount of todays orthopaedic surgeons workload and pose a challenge for the healthcare system around the globe. These fractures typically occur in frail patients with multiple medical comorbidities and often result.

The treatment of trochanteric fractures of the femur by the ender. Conventional technique of valgus osteotomy of the proximal femur involves removal of a partial or full thickness lateral based wedge from the peritrochanteric region. In these instances, assessment must be made of possible associated head, neck, chest, and abdominal injuries. You may not embed one of our images on your web page without a link back to our site. Video lecture with narrations and live annotations from. A timely surgical management that allows early mobilization is the key in the reduction of the high inherent mortality following these fractures. Intertrochanteric fractures of femur are common in elderly patients. Barton tm, gleeson r, topliss c, greenwood r, harries wj, chesser tj. An axial load along the shaft of the femur results in compressive stress. Intertrochanteric fractures in younger individuals are usually the result of a highenergy injury, such as a motor vehicle accident or fall from a height. Threefragment fracture without posterolateral support, owing to displacement of greater trochanter fragment type id.

Radiographic detection of hip and pelvic fractures in the emergency department. Treatment of trochanteric and subtrochanteric hip fractures. Simultaneous bilateral intertrochanteric fractures are very rare, and only a few cases have been reported in the literature. They are serious injuries with high morbidity and mortality rates. Intertrochanteric fractures of femur linkedin slideshare. Displaced intertrochanteric fracture of right femur, initial encounter for open fracture type iiia, iiib, or iiic. Neck of femur fractures nof are common injuries sustained by older patients who are both more likely to have unsteadiness. Once a fracture does occur, this same protective musculature usually is the cause of displacement, which commonly occurs with femoral shaft fractures. The simple intertrochanteric femur fracture readonly.

Femoral neck fracture following intertrochanteric fracture. Fracture of intertrochanteric section of femur closed. Intertrochanteric between the greater and lesser trochanter. Get a printable copy pdf file of the complete article 1. Introduction the trochanteric area of the femur is the region of the femoral metaphysis between the base of the femoral neck and the most distal level of the lesser trochanter. Intertrochanteric neck of femur fracture radiology case.

Management of intertrochanteric fractures of the femur. Treatment of intertrochanteric and subtrochanteric fractures of the hip by the ender method. Patahpada tulang femur dapat menimbulkan perdarahan cukup banyak serta mengakibatkan penderita mengalami syok sjamsuhidajat, 2004. Pdf femoral neck fracture following intertrochanteric. Definisi fraktur atau patah tulang adalah terputusnya kontinuitas jaringan tulang dan atau tulang rawan yang umumnya disebabkan oleh rudapaksa syamsuhidayat. Extramedullary and intramedullary implants have improved in recent years, although consensus is lacking concerning.

Most of these fractures occur in patients older than 65 years, and the fractures are more common in women 3 of every 4 fractures. Callus is what we look for to show signs of healing. Kyle key points the treatment of intertrochanteric femur fractures is nearly always operative. Fraktur femur adalah terputusnya kontinuitas batang femur yang bisa terjadi akibat trauma langsung kecelakaan lalu lintas, jatuh dari ketinggian. Intertrochanteric or subtrochanteric fracture and one year of. Fraktur femur adalah terputusnya kontinuitas batang femur yang bisa terjadi akibat trauma. Secara umum fraktur collum femur merupakan fraktur intrakapsular dimana suplai pembuluh darah arterial ke lokasi fraktur dan caput femur. Gardens classification of intertrochanteric fractures stable gardens type i and ii lesser trochanter nondisplaced, no comminution, medial cortices of proxdistal fragments aligned. An reoperation rate of less than 3% by only 23 of our respondents seems questionable.

The femur is the largest and strongest bone and has a good blood supply. To evaluate the therapeutic outcome of artificial total hip arthroplasty tha with collum femoris preserving for hip joint disease in young and. Evans classification of intertrochanteric fractures. Forty patients with intertrochanteric fractures of the femur were treated by external fixation between july 1992 and april 1994. How to get rid of muscle knots in your neck, traps, shoulders, and back duration. Intertrochanteric femur fracture statpearls ncbi bookshelf. Intertrochanteric fractures are defined as extracapsular fractures of the proximal femur that occur between the greater and lesser trochanter. An intertrochanteric fracture is a specific type of hip fracture. Fracture of intertrochanteric section of femur closed short description. External fixation of intertrochanteric fractures of the femur. Haidukewych, md an instructional course lecture, american academy of orthopaedic surgeons intertrochanteric fractures are becoming increasingly common as our population ages.