orthopaedic referat
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Orthopaedic Referat: Neglected Fracture Femur
Orthopaedic Referat: Neglected Fracture Neck FemurAgustian DenyI 11109090Consulent : dr. Ganda Purba, Sp.OT, M.Kes
Anatomy
Anterior compartement
Medial Compartement
Posterior Compartement
Fracture of Neck FemurEtiology InjuryRepetitive stressAbnormal weakening of the bone (a pathological fracture).Mechanism of injury:The fracture usually results from a simple fall; however, in very osteoporotic people, less force is required.
In younger individuals, the usual cause is a fall from a height or a blow sustained in a road accident.Classification:
Clinical features:There is usually a history of a fall, followed by pain in the hip. If the fracture is displaced, the patient lies with the limb in lateral rotation and the leg looks short.
In contrast, femoral neck fractures in young adults result from road traffic accidents or falls from heights and are often associated with multiple injuries. A good rule is that young adults with severe injuries whether they complain of hip pain or not should always be examined for an associated femoral neck fracture.Physical Examination:Generalis: primary and secondary surveyLocalise: look, feel, moveSpecial test
X-Ray
Treatment ConservativeOperative For most patients the principles of treatment are as of old: accurate reduction, secure internal fixation and early activity.
Displaced fractures must first be reduced: with the patient under anaesthesia, the fracture is disimpacted by applying traction with the hip held in 45 degrees of flexion and slight abduction; the limb is then slowly brought into extension and finally internally rotated; as traction is released, the fracture re-impacts in the reduced position.Treatment
Treatment
Neglected Fracture Non-Union
Neglected Fracture Malunion
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