The patient we worked with was a 51 year old female who fractured. The majority of the studies published on hip fractures/ORIFs are mainly focused on the elderly population. Geriatric Protocol (>70 yo) o Scheduled Tylenol 1000mg po. These guide wires should be spaced apart to maximize fixation stability and inserted into the dense subchondral bone. intertrochanteric fractures, and subtrochanteric fractures. Start Lovenox 40mg sq daily 14 hours after close of surgery. Fifty per cent of all hip fractures are per-trochanteric, of which up to 40 are considered unstable. The inferior neck cortex to resist varus displacement, while one of the two superior wires is adjacent to the posterior femoral cortex to resist posterior displacement. Hip fractures are one of the most common injuries affecting the elderly population and are associated with significant morbidity and mortality. Other names: Supracondylar femur fracture Intercondylar femur fracture Hoffas Fracture. In the elderly, they may occur from falling at home. The guide wiresĬan be inserted using an insertion apparatus or a freehand technique I Distal femoral fractures involve the femoral condyles and the metaphyseal region, commonly caused by high energy trauma such as motor vehicle accidents or a fall from a height. Superior this orientation provides the most mechanically secureįracture fixation ( Fig. ![]() Inverted triangular configuration, with one wire inferior and two wires The guide wires should all be parallel and oriented in an By comparing two groups of patients before and after the implementation of ERAS for intertrochanteric fracture (ITF) with a matching analysis of propensity score (PS), we aimed to demonstrate that the implementation of ERAS protocol shortens the length of hospital stay (LOS), reduces pain, decreases the incidence of postoperative complications. Neck to estimate femoral neck anteversion, but I find this is A guide wire can be placed anterior to the femoral Guide wires are inserted into the femoral neck and head under image
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