Hip Fractures, Types and fixation - Everything You Need To Know - Dr. Nabil Ebraheim

Dr. Ebraheim’s educational animated video describes fractures of the Hip, types, signs and symptoms, etiology and specific fixation methods.

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.

Видео Hip Fractures, Types and fixation - Everything You Need To Know - Dr. Nabil Ebraheim канала nabil ebraheim