Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-17T21:39:50.288Z Has data issue: false hasContentIssue false

10 - Section I: Extracapsular fractures of the hip

Published online by Cambridge University Press:  05 February 2014

By
Peter V. Giannoudis  and
Christopher Tzioupis
Edited by
Peter V. Giannoudis  and
Hans-Christoph Pape
Peter V. Giannoudis
Affiliation:
Leeds General Infirmary University Hospital
Christopher Tzioupis
Affiliation:
Leeds General Infirmary University Hospital
Peter V. Giannoudis
Affiliation:
University of Leeds School of Medicine
Hans-Christoph Pape
Affiliation:
University of Aachen Medical Centre
Get access

Summary

Indications

Sliding compression hip screw devices are used to stabilize:

  • Stable intertrochanteric hip fractures (Fig. 10.1.1).

  • Rotationally unstable, comminuted and vertical (Pauwels type 3) intracapsular fractures of neck of femur.

Preoperative planning

Clinical assessment

  • Pain localized in the affected hip side – radiation of pain to the knee.

  • Limb is shortened and externally rotated.

  • Assess and document the neurovascular status of the leg.

  • In young patients careful examination for other injuries must be made, as these fractures are a result of high-energy trauma.

  • A complete medical examination in elderly patients.

Radiological assessment

  • Anteroposterior radiograph and a lateral view of the afected hip to demonstrate the fracture geometry.

  • Anteroposterior radiograph of the pelvis to estimate the contralateral ‘normal’ neck-shat angle.

Preoperative consent

  • Obtain informed consent from the patient, including but not limited to risks, beneits, alternatives, complications and potential outcome.

Operative treatment

  • The World Health Organization (WHO) Surgical Safety Checklist should be used in the operating room.

Type
Chapter
Information
Practical Procedures in Orthopaedic Trauma Surgery , pp. 246 - 259
Publisher: Cambridge University Press
Print publication year: 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×