A free powerpoint ppt presentation displayed as a flash slide show on id. Most fractures occur as a result of trauma, but some secondary fractures occur as a result of disease processes such as osteoporosis and. Fourteen patients had periprosthetic femur fractures following tka with eight fractures nondisplaced and six fractures displaced. The femoral neck is the most common location for a hip fracture.
Get a printable copy pdf file of the complete article 1. Because the femur is so strong, it usually takes a lot of force to break it. Les fractures du col du femur apres 50 ans emconsulte. Supracondylar fractures of femur constitute 7% of all femoral fractures. Femoral shaft fracture patients will receive intramedullary nailing.
Frequencyfrequency fractures of the femoral shaft arefractures of the femoral shaft are the most common fractures thatthe most common fractures that orthopedist see. With some fracture patterns or with open fractures, an external fixation device may be used. Proximal femur fractures have significant functional repercussions in both older adults sometimes lifethreatening and younger adults socioeconomic. For those people under 25 years and older than 65 years, the rate increases to three cases per 10,000 population each year. A supracondylar femur fracture, also called a distal femur, is an unusual injury that occurs just above the knee joint. She was placed in the recovery position during the seizure and was not restrained. As depicted in exhibit 1, the patient journey begins when a patient experiences signs and symptoms of a femur or pelvis fracture e. Within the category of femur fracture, there are different types of fractures that can occur across all age ranges due to various mechanical forces. To apply an external fixator, the bone is straightened and large threaded pins are passed into the bone fragments above and below the fracture. A displaced femoral neck fracture of the right hip is shown a because the placed fractures in this area of the femur frequently progress to nonunion or osteonecrosis at the femoral head b, which generally consist of hemiarthroplasty or replacement of the femoral head and neck with a prosthesis.
Pelvis fracture patients will receive open reduction with internal fixation, utilizing plates and screws. Influence of the time to treatment on the preservation of the head of femur fractures of the femoral neck in the young patient. Femoral neck fractures, elderly, hip replacement, osteosynthesis, geriatric care. Femoral shaft fractures orthopaedic trauma association. A femoral neck fracture is a break of the neck of the femur, between the head and shaft of the bone. Media in category fractures of the human femur the following 42 files are in this category, out of 42 total. Eventually all the aspects of the three types of classification named above serve as decision guidance for choosing either osteosynthesis or prosthetical treatment. There is no consensus on what would be the ideal treatment for such cases. Ppt les fractures du femur powerpoint presentation free. Ep0147265a1 materiel dosteosynthese pour le traitement des.
Une fracture du femur peut survenir lors dun impact dune. Our work is a retrospective study of 17 cases of distal femur fracture colligated in the department of orthopaedic surgery. Seven patients presented floating knees above and below knee fractures. They are typically sustained in highimpact trauma, such as car crashes, due to the large amount of force needed to break the bone. In this type of fracture, the break is a straight horizontal line going across the femoral shaft. One of the studies 2 reports 48 of 49 child abuserelated femur fractures occurred in the less than three year old age group. Burden of disease there are many components to consider when calculating the overall cost of treatment for pediatric femoral fracture. Because the femur is such a strong bone, a broken femur excluding hip fractures is rare. An intertrochanteric hip fracture is a break between two trochanters at the top of the shaft of the femur, just below the neck. Femur proximal, fracture du col, fracture du massif trochanterien, prothese, osteosynthese. A 67yearold woman with chronic renal failure developed a witnessed tonicclonic seizure, lasting about 1 min. Bilateral neck of femur fractures secondary to seizure. The most common associated injurie was the patella fracture 2 cases.
Patients and methods this is a retrospective study from january 2004 to december 20 in the pediatric surgery department of lome sylvanius olympio teaching hospital, from the records of patients aged 015 years with femur fractured treated surgically. The management of proximal femoral fractures in the elderly should be multidisciplinary, indeed the fall causing the fracture might follow a neurological, metabolic or cardiovascular disorder. Current concepts in fractures of the distal femur soucasny pohled na zlomeniny dolniho konce stehenni kosti b. The healing process typically takes up to six months, going through four phases. Il sagit volontiers dune fracture en coxa vara fermant langle cervicodiaphysaire. Your thighbone femur is the longest and strongest bone in your body. Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter see hip fractures. When it comes to broken bones, a femur fracture is a relatively common type of bone fracture. The long, straight part of the femur is called the femoral shaft. Ppt les fractures du femur powerpoint presentation. There is minimal muscle tethering at this site and the knee can be bent without distorting the traction force.
Risk factors include osteoporosis, taking many medications, alcohol use, and metastatic cancer. These types of fractures are remarkably rare and consider below one percent of thigh and hip fractures general. Nail will not have an isthmic fit may need blocking pinsdrill bitsscrews percutaneous or open clamps nail will lock a fracture in a malreduced position as easily as it will. Fractures of the femur in cattle are second in frequency only to fractures to the metacarpal and metatarsal bones. Leg fractures are uncommon and occur at a rate of about one case per 10,000 population per year. Femoral neck fractures and peritrochanteric fractures are equally prevalent and make up over 90 percent of proximal femur fractures. The transcervical type of the femoral neck fracture is a contraindication for pfna ii due to the probability of rotation during fixation. Just take this femur fracture recovery case study, in which a patient required the placement of a rod for a fracture in her left femur. Moderate evidence supports operative fixation for patients with stable nondisplaced femoral neck. Consider nonaccidental injury in femoral shaft injuries in infants. Ce chapitre aborde le diagnostic et le traitement des fractures du femur distal. In elderly patients, they are invariably lowenergy fractures predisposed to by osteoporosis. Fracture is a break of continuity of bone, joint, epiphyseal cartilage, which is total or partial. Evans and others published fractures of the proximal femur find, read and cite all the research you need on researchgate.
Overview of the femur and pelvis fracture episode of care. The most common types of femoral shaft fractures include. For all femur fractures, the best site for the pin is the upper tibia. This was a polytraumatized 59 year old man with an open femur fracture, representing the highenergy mechanism of the mcc. Review basic current treatments for femur fractures by location.
Bilateral neck of femur fractures are associated with highenergy trauma, electroconvulsive and pharamacoconvulsive therapy, and other convulsive seizures. These fractures often involve the cartilage surface of the knee joint and are most commonly seen in people with severe osteoporosis or those who have previously undergone total knee replacement surgery. You may have had surgery called an open reduction internal fixation. Em in 5 has mastered how to offer pithy content in a condensed format. Treatment options, prognosis, postoperative complications are discussed for conservative therapy and for various forms of external and internal fixation. Fractures femorales et tibiales autour des protheses du genou. You are the exemplar in brief foamed small note here, the slides do not progress after the penetrating trauma. Coapteur pour fractures du col du femur et similaires download pdf info.
The fracture line encircles the shaft like the stripes on a candy cane. Prise en charge des fractures du femur par enclouage intramedullaire. These fractures are characterized by an uncertain prognosis in terms of both morbidity and mortality. Shock is never the result of a single femoral shaft fracture in children look for another site of haemorrhage. Strong evidence supports that children younger than thirtysix months with a diaphyseal femur fracture be evaluated for child abuse. Femur shaft fractures broken thighbone orthoinfo aaos. This type of fracture has an angled line across the shaft.
Ipsilateral femoral neck and shaft fractures fixation with. The first successful internal fixation of proximal femur fractures was done in 1875 by konig. Fracture of the femur and its fixation everything you need to know. Femur fracture classification aoota femur diaphysis bone segment 32. Fractures of the shaft of the femur after total replacement of the hip or knee. A femoral fracture is a bone fracture that involves the femur.
Jul 31, 2018 the femur, your thigh bone, is the largest and strongest bone in your body. Interprosthetic ip femur fracturesthose occurring between a total hip arthroplasty tha and a total knee arthroplasty tkahave been shown to complicate approximately 1. From 1987 through 1990, 34 acute supracondylar femoral fractures in 33 patients were treated with an interlocking closedsection intramedullary nail inserted retrograde into the femur through the. Feb 12, 2018 em in 5 blog is a series of 5 minute emergency medicine lectures on high yield topics. Pdf fracture diaphysaire du femur traitee par osteosynthese. This author found that in 332 femur fractures in children 03 years of age fortyeight of them were due to abuse. The value of the tipapex distance in predicting failure of fixation of peritrochanteric fractures. Pdf le traitement des fractures diaphysaires du femur fdf est chirurgical. The first attempt at internal fixation of the proximal femur in the 1850s was by langenbeck. Femoral shaft fractures are more common than other parts of the femur. A hip fracture is a break that occurs in the upper part of the femur thigh bone. Common clinical presentations and the diagnosis of femur fractures are described. Tres frequente, elle occupe une place importante dans les fractures en general et constitue les trois quart 34 des fractures du femur. A hip fracture means a fracture of the proximal femur proximal to 5 cm below the lesser trochanter.
The two most common types of hip fractures are pictured below next to a normal hip. Enclouages centromedullaires dans le traitement des fractures. Dec 07, 2017 em in 5 has mastered how to offer pithy content in a condensed format. Breaking your femur can make daily tasks more difficult because its one. Coapteur pour fractures du col du femur et similaires. Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. Femur fractures that are diaphyseal fractures take place here the hip joint, in the elongated section of the upper leg, at some stage listed below the hip joint and expanding down to simply over the knee. Ep0180532a1 coapteur pour fractures du col du femur et. Treatment of these fractures in the elderly is a challenging task for most orthopaedic surgeons. Babst department of trauma surgery, cantonal hospital lucerne, lucerne, switzerland summary this paper describes current treatment strategies of distal femoral fractures as well as their evidence based rationale. Car crashes, for example, are the number one cause of femur fractures.
Nov 27, 2015 fractures of the distal third of the femur are termed supracondylar fractures and can affect the knee joint. Fda officials revealed that the rare thigh fractures were mostly uncovered in. Ao type 33c3 5 cases were more frequent on the femur, while ao type 41a3 4 cases dominate the tibia fractures. The full text of this article is available in pdf format. Ceci est fort naturel, car lorsquil sagit des fractures. Femur and pelvis fractures can be the result of highenergy traumatic fractures e. Objective to describe indications, different modalities and results of surgical treatment of femur fractures in children. Distal femur lecture orthopaedic trauma association. Look for a new 5 minute video every monday on the blog.