Distal femur fracture SlideShare

17. Supracondylar femoral fractures - Direct screws to avoid joint - Too long out medial - AP x-ray—screws end 1 cm short of projected medial cortex Distal femoral geometry. 18. Supracondylar femoral fractures - Lateral cortex slopes 10º - Must internally rotate implant fractionally Distal femoral geometry 10 ° 25° W 33. Definition. femoral shaft fracture is defined as a fracture of the diaphysis occurring between 5 cm distal to the lesser trochanter and 5 cm proximal to the adductor tubercle High energy injuries frequently associated with life- threatening conditions. 34. Traumatic high-energy most common in younger population often a result of high-speed. Femoral shaft fracture is defined as a fracture of the diaphysis occurring between 5 cm distal to the lesser trochanter and 5 cm proximal to the adductor tubercle. The femoral shaft is padded with large muscles. - reduction can be difficult as muscle contraction displaces the fracture. - healing potential is improved by having this well. Fracturas de Femur Distal. En esta exposición explicaremos anatomía en relación a las fracturas distales de fémur, veremos como algunos de los músculos del muslo y de la pierna pueden influir en en a adecuada reducción de la fractura, así como la importancia de conocer el paquete vascular y nervioso del hueco popitleo, describiremos las. Distal Femur Fractures * Indirect Reduction Not for articular surfaces Direct visualization and reduction Preserves soft-tissue envelope around metadiaphyseal - A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 6fba58-YmZk

Fractura de la epifisis distal del femur new fixation method for fracture neck femur Distal Femur Fractures. Distal femur fractures are traumatic injuries involving the region extending from the distal metaphyseal-diaphyseal junction to the articular surface of the femoral condyles. Diagnosis is made radiographically with CT studies often required to assess for intra-articular extension the LISS to treat periprosthetic femoral fractures with implanted knee prosthesis], Der Unfallchirurg 10 (1999), 811-814 4. P. Schandelmaier et al. Stabilisation of distal femur fractures using the LISS, Techniques in Orthopaedics, 14 (3) (1999), 230-246 5. P. Schandelmaier et al. Distale Femurfrakturen [Distal femoral fractu

distal femur fracture - slideshare

Femur fracture - SlideShar

  1. ing the optimal treat-ment modality, such that fracture classification and reporting should address the likelihood of vascular compromise. Intracapsular fractures of-ten place the tenuous femoral head.
  2. V-shaped distal tibia fracture extending into the tibial plafond. Gosselin's fracture at TheFreeDictionary.com. Hangman's fracture. Hangman. fracture of both pedicles of C2. distraction and extension of neck. Hangman's fracture at Wheeless' Textbook of Orthopaedics online. Hill-Sachs fracture. Harold Arthur Hill
  3. isolated mid-shaft femur frac-tures (see note below on Sager type splint). Typical femur fractures will present in distinct ways. The limb will be shortened and rotated outward (see Photo 1). There will be a bulge at the point of the break pointing to its location (i.e., mid-shaft, proximal or distal). Femurs do break in both the distal.
  4. This article is an overview of the management of femoral shaft fractures resulting from gunshot wounds. It deals with the initial patient evaluation, operative techniques of fracture stabilization and wound care, associated complications, and the postoperative rehabilitation of these complex fractures
  5. -Used for fracture of the femur or tibia, or fracture begin to unite i.e. after 3-6 weeks of traction or restrictive splintage . Internal Fixation -Bone fragments may be fixed with screws, pins or nails, a metal plate held by screws, a long intramedullary nail, circumferential bands, or combination of these

Femoral fracture - SlideShar

• Convert to humeral fracture brace 7-10 days after fracture -Improved pain -Less swelling (nerve compression, compartment syndrome) • Encourage early active elbow ROM • Monitor for skin lesions • Fracture reduction maintained by hydrostatic column principle • Co-contraction of muscles -Snug brace dail A knee fracture is a break (or crack) in any of the parts of the bones that make up the knee joint: the femur (thighbone), the tibia (shin bone) and the patella (kneecap). Because of its location at the front of your knee, the kneecap is the most frequently fractures knee bone Intramedullary nail - for long bone fractures (femur/tibia/humerus) K-wires (stainless steel pins which can be inserted percutaneously to hold bone fragments together; can be used as temporary fixation for ̴4 weeks) - if small fracture fragments, or for intramedullary fixation of smal

Fracturas de Femur Distal - SlideShar

  1. distal radial fracture. B 11 RCT Immobilization of the thumb with a removable splint after a ligamentous injury is strongly preferred by patients, and the functional results are equal to those of.
  2. Shaft & Distal Femur Subtrochanteric FX Femoral Shaft FX L Femur Fracture Secondary to GSW in 33M (C101263) Jerrod Steimle Trauma - Gun Shot Wounds B 9/6/2019 162 . 0 . 0 . Surgical emphysema following an air gun injury in a 19M.
  3. uted) •Relationship of fracture fragments (angulation, displacement, dislocation) non-displaced right femur fracture
  4. For the distal femur fracture, proximal tibial traction (Perkin's traction) would be appropriate if planned for skeletal traction. The pull on the femur should be in line with it's axis (the pulley should be adjustable accordingly; up and down) and the weight must be enough to correct the length and reduce the fracture. 10% of body weight can be used for maintenance traction
  5. There is a convention to ensure that caregivers all describe the same injury the same way. The convention is that angulation, displacement, and dislocation are described by where the distal fracture fragment is in relation to the proximal fragment.Displacement is the loss of axial alignment, while angulation is tilt, either described by the convention (distal fragment relative to proximal) or.
  6. Distal Femur Fracture Symptom Checker: Possible causes include Distal Femur Fracture. Check the full list of possible causes and conditions now! fracture united. • AVN - 1990 - AMP done [slideshare.net] The femoral neck is the region of the femur bounded by the femoral head proximally and the greater and lesser trochanters distally.

PPT - Distal Femur Fractures PowerPoint presentation

Any fracture that involves the physis is at risk for growth failure arrest and should be followed up with serial radiographs at 6 and 12 months. Fractures considered at greatest risk for growth arrest are the distal femur, distal tibia, distal radius and ulnar, proximal tibia, and triradiate cartilage St. Petersburg Office 625 6th Avenue South, Suite 450, St. Petersburg, FL 33701 Tampa Office 3440 W. Dr. Martin Luther King Jr Blvd, Suite 200, Tampa, FL 3360

Hoffa's Fracture: Diagnosis, management & New

Thigh Compartment Syndrome is a devastating lower extremity condition where the osseofascial compartment pressure rises to a level that decreases perfusion to the thigh and may lead to irreversible muscle and neurovascular damage. Diagnosis is made with the presence of severe and progressive thigh pain that worsens with passive knee motion Postoperative radiographs of the left femur taken in the ICU not only showed the surgically stabilized distal femoral fracture (Fig. 6.6c, d) but also revealed a new, posteriorly displaced fracture of the proximal femur, which was visible in the lateral projection in the second round of radiographs Most femoral shaft fractures require surgery to heal. It is unusual for femoral shaft fractures to be treated without surgery. Very young children are sometimes treated with a cast. Most femur fractures are fixed within 24 to 48 hours. Sometimes it will be delayed until other life-threatening injuries or unstable medical conditions are stabilized Supracondylar Femur Fractures . A supracondylar femur fracture, also called a distal femur, is a break in the bone that occurs just above the knee joint.   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.

Femoral neck fractures and peritrochanteric fractures are equally prevalent and make up over 90 percent of proximal femur fractures. The femoral neck is the most common location for a hip fracture Preoperative images with ipsilateral femoral neck, femoral shaft, and distal femur condylar fracture in a 20-year-old patient. This fracture combination can be extremely difficult to treat, and carries a high risk of delayed healing and late complications Animated description of a closed reduction of a dorsally angulated distal radius fracture.Visit www.orthofilms.com for more videos and info

Imaging anatomy fractures of the femur

Fractura de femur distal - pt

Smith fractures, also known as Goyrand fractures in the French literature 3, are fractures of the distal radius with associated volar angulation of the distal fracture fragment(s). Classically, these fractures are extra-articular transverse fractures and can be thought of as a reverse Colles fracture.. The term is sometimes used to describe intra-articular fractures with volar displacement. Femur AP view is performed to look for evidence of pathology or injury in the femur. It may be obtained for suspicions of bony injury based on clinical signs and symptoms or if hip or knee X-rays have partially imaged a femur fracture. Proximal femur in AP projection. Distal femur in AP projection. Position of patient Supine position. Make sure. With all that considered, here are some descriptions of fractures: transverse fracture of the mid-to-distal third of the right tibia. No significant angulation, but ventral (80%) and lateral (10%) translation. spiral fracture of the distal third of the left tibia. Mild varus angulation, lateral translation and angulation

F technique for fracture neck femur - pt

A clavicle fracture is a break in the collarbone, one of the main bones in the shoulder. This type of fracture is fairly common—accounting for about 5 percent of all adult fractures. Most clavicle fractures occur when a fall onto the shoulder or an outstretched arm puts enough pressure on the bone that it snaps or breaks This fracture occurs when the growth plate is hit and splits away from the joint along with a small piece of the bone shaft. This is the most common type and happens most often in children over 10

Distal Femur Fractures - Trauma - Orthobullet

  1. fracture on distal radius of left arm on 31st October 2016. Patient was hit by an car and he fell down in outstretched position. After seeing an orthopedic surgeon, X-Ray was done, it revealed close fracture of distal radius Patient received surgical treatment, open reduction and internal fixation was done on 2nd November 2016. Bandage wa
  2. uted fracture. Com
  3. Epidemiology. Simple supracondylar fractures are typically seen in younger children, and are uncommon in adults; 90% are seen in children younger than 10 years of age, with a peak age of 5-7 years 4,6.These fractures are more commonly seen in boys 4 and are the most common elbow fractures in children (55-80%) 8.. These injuries are almost always due to accidental trauma, such as falling from a.
  4. Forearm Fractures in Children. The forearm is the part of the arm between the wrist and the elbow. It is made up of two bones: the radius and the ulna. Forearm fractures are common in childhood, accounting for more than 40% of all childhood fractures. About three out of four forearm fractures in children occur at the wrist end of the radius


Transverse fracture occurs around the cortex that extends to the middle of the bone while torus or buckling fracture is caused by impaction, and the bow fracture occurs when the bone is curved along its longitudinal axis. Greenstick Fracture at Wrist. These fractures are common at distal radius or distal ulna Essex Lopresti Fracture. - Discussion: - radial head frx plus dislocation of distal RU joint (& interosseous membrane disruption); - mechanism: fall from height; - in this type of frx, radius will also migrate proximally if radial head is excised; - if injury is not found when it is acute, pt may develop severe wrist pain from radial migration. Femoral shaft fracture: A femoral shaft fracture is a break that occurs anywhere along the femoral shaft, long, straight part of the femur. [aokimd.com] Types of Distal Femur Fractures Distal femur fractures can be categorised in the way in which the bone breaks and the severity of the break The Supracondylar fracture of the humerus is a fracture of the distal end of the humerus just above the elbow joint. The transverse section of the shaft of the humerus is somewhat circular in shape which gets more flattered as it descends down to meet the distal end of the humerus Shearing of the distal radius, known as an osteochondral fracture. Compression: In falls from a height or other high energy injuries, the hand and wrist bones can be compressed against the flat surface of the distal radius, which yields under the tremendous applied load. This compressive injury impacts the smaller wrist (carpal) bones into the.

Fractures distal to the knee require more distal traction, it may be useful in setting shortened tibial plateau fractures. Pin placement is aimed to avoid the superficial peroneal nerve and intra-articular placement, therefore, a transverse line is marked 5 cm proximal to the ankle joint (Figure 19 ) Proximal femoral osteotomy is a joint-sparing procedure that relies on maintaining the biologic integrity of the femoral head. Once common for hip dysplasia and arthritis of the hip, proximal femoral osteotomies are performed less commonly now. But they are still used in the treatment of hip fracture nonunions and malunions and in cases of congenital and acquired hip deformities

Femoral Shaft Fractures - Pediatric - Pediatrics

  1. Radiographies show: (a) femur and tibia lack bone marrow cavities and the translucent growth plate at the distal femur seems irregular, (b) typical sandwich appearance of [iofbonehealth.org] MRI demonstrates a right subtrochanteric fracture with areas of soft-tissue swelling (arrows) and bony irregularities suggestive of a new fracture (A)
  2. 4. Büttler Markus, Trauma R&D, Zuchwil.Analysis-Femoral Recon Nail, Proximal Nail End. 2017.0000271887. Indication Statement. The Femoral Recon Nail System is intended for treatment of fractures in adults and adolescents (12-21) in which the growth plates have fused. Specifically, the system is indicated for: Subtrochanteric fractures
  3. NORSHAHIDAH ZAINAL. SD01-201704-002565 FEMUR MIDSHAFT FRACTURE CASE PRESENTATION ON INTRODUCTION TYPES. The most common types of femoral shaft fractures include: Transverse fracture. In this type of fracture, the break is a straight horizontal line going across the femoral shaft. Oblique fracture
  4. Diaphyseal femur fractures (femoral shaft fractures) result from significant force transmitted from a direct blow or from indirect force transmitted at the knee.These may be the result of bone weakness from osteoporosis or lytic lesions. The femur is the largest and strongest bone and has a good blood supply
  5. Approximately 21% of patients who present with open fractures have considerable musculoskeletal injuries. Those with open femoral fractures tend to be most severely injured. Patients with distal tibial fractures tend to have an injury severity score and a fracture index that are lower than those of patients with diaphyseal tibial fractures
  6. •Homogeneous ossified mass adjacent to the cortical bone of the distal femur •MRI Sagittal T1-weighted MR very low signal intensity due to the ossified matrix and the cortical [slideshare.net] Osteomyelitis of the Frontal Bon

Surgical techniques for fixing complex distal femur fracture

  1. Anatomy Pdf. Micheal Hartman. Chassin S Operative Strategy In General Surgery An. Thalamus Linkedin Slideshare. Netters Surgical Anatomy Pdf Pngline. Download Netters Surgical Anatomy And Approaches 1e Pdf. Doc Netter S Surgical Anatomy And Approaches 1e Netter. Ebook Netters Sports Medicine 1e Netter Clinical Science
  2. Femur Fractures. Wickup PPT. Presentation Summary : FEMUR FRACTURES. Common injuries. May be due to direct or indirect trauma. Signify significant trauma. Most common cause; M.V.A. Commonly closed fractures
  3. Types of Hip Fractures • Femoral Head Fractures • Pipkin Classification - 1- low inf to fovea - 2- above fovea wt bearing - 3- head and fem neck - 4- head and acetab - 5- depression fx, acetab impaled on hea
  4. Trochanteric fractures can occur because of a direct impact or avulsion type injuries. Rarely these fractures can involve a twisting mechanism with a spiral morphology. These fractures can also occur intraoperatively during femoral instrumentation. Critical to diagnosis is the assessment of the stability of the femoral stem and the hip joint
  5. This fracture is an isolated undisplaced 44B fracture of the lateral malleolus. X-Ray control after 10 days is undertaken to check stability. If fracture displacement has occurred, then surgery must be considered. Indications for operative treatment Indications for operative treatment of ankle fractures ar
  6. At either end of the bone, the fracture may also occur with ligament injuries. The fibula and tibia are the two long bones of the lower leg. Joined together at knee and ankle joints. The fibula is the smaller bone of the two. The fibula bone is expendable for most of its part except in distal third of the leg where it forms an important part of.
  7. A fracture is a traumatic injury interrupting bone continuity. TYPES: Closed simple, uncomplicated fractures - do not cause a break in the skin. Open compound, complicated fractures - involve trauma to surrounding tissue and break in the skin. Incomplete fractures - are partial cross-sectional breaks with incomplete bone disruption

Femoral Fractures - Physiopedi

(d) Anteroposterior radiograph of both knees shows a fracture of the patient's right distal femur (black arrow), as well as age-indeterminate fractures of her right tibia and both fibulae (dashed white arrows). The metaphyses are fragmented, frayed, and fractured (solid white arrows) dorsally angulated intra-articular fracture (arrow) of the distal radius, acquired positive ulnar variance, and an ulnar styloid fracture (circle on a). (c, d) Radiographs of the left femoral neck (c) and left proximal humerus (d) show that the same patient also frac-tured his left femoral neck (arrow on c) and left proximal humerus (circle on d)

Introduction. A fractured neck of femur (NOF) is a very common orthopaedic presentation. Over 65,000 hip fractures each year are recorded in the UK and they are becoming increasingly frequent due to an aging population.. The mortality of a femoral neck fracture up to 30% at one year; consequently, these fractures require specialist care and, indeed, most orthopaedic units now have dedicated. The subtrochanteric region of the femur includes the area from the lesser trochanter to a point 8 cm distally. However, any fracture occurring in the diaphysis of the proximal one-third of the femur can generally be referred to as subtrochanteric ( Fig. 19-1 ). The anatomy of the proximal femur is complex from both bone and soft tissue standpoints The most common locations for stress fractures are the tibia (23.6 percent), tarsal navicular (17.6 percent), metatarsal (16.2 percent), fibula (15.5 percent), femur (6.6 percent), pelvis (1.6. The side plate has angled barrel which glides over the distal part of the screw and the side plate is fixed to the proximal femur with help of cortical screws. Dynamic hip screw is used in fixation of proximal hip fractures mainly intertrochanteric fractures but can also be used in selected cases of fractures of the femoral neck and. Intra-articular fractures require anatomical reduction. Undisplaced - strap to adjacent finger, fracture clinic with Xray in 7 days. Displaced - seek advice - some may be reduced under digital block. Lower limb fractures Femur. Femur fracture. Ensure adequate analgesia with entonox, opoids and a femoral nerve block

Thighbone (Femur) Fractures In Children - OrthoInfo - AAO

A. These are sequential radiographs of a child who sustained a fracture of the midshaft of the right humerus during birth. Note the very rapid healing with extensive callus by day 7 followed by remodelling. B. These are sequential radiographs of a 14 month child who sustained a fracture of the midshaft of the right femur Fracture of the femur in an 83-year-old patient who complained of left hip pain after a fall. (a) Radiograph demonstrates normal findings. (b) Anterior (left) and posterior (right) radionuclide bone scans demonstrate foci of increased activity in the left femoral neck, a finding that is consistent with trauma Fractures: Types and Treatment. The word Fracture implies to broken bone. A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. Thinning of the bone due to osteoporosis in the elderly can cause the bone to break easily. Overuse injury is a common cause of. Distal radius fractures are one of the most common types of bone fractures. They occur at the end of the radius bone near the wrist. Depending on the angle of the break, distal radius fractures can be classified into two types: Colles or Smith. Falls are the main cause of distal radius fractures. They may also occur during trauma from a vehicle.

micromotion at the fracture site • Controlled load-sharing helps to work harden the fracture callus and accelerate remodeling • Serially destabilize frame over time to allow for increased controlled axial compression (Figures from: Rockwood and Green, Fractures in Adults, 4 th ed, Lippincott-Raven, 1996 The choice of implant depends on the fracture pattern and the surgeon's preference. Definition A hip fracture is generally considered to be any fracture of the femur distal to the femoral head and proximal to a level a few centimetres below the lesser trochanter Femoral fractures are often managed using skin traction prior to their definitive surgical management. Some require short term traction ie. 24 hours whereas others require it for a number of weeks ie. 6 weeks. Traction limits movement and reduces the fracture to help decrease pain, spasms and swelling Distal Tibial Fractures. These fractures occur at the ankle end of the tibia. They are also called tibial plafond fractures. One of the common types in children is the distal tibial metaphyseal fracture. This is a fracture in the metaphysis, the part of tibia before it reaches its widest point

Screws at each end of the rod are used to keep the fracture from shortening or rotating, and also hold the rod in place until the fracture has healed. Rods and screws may be left in the bone after healing is complete. This is the method used to treat the majority of fractures in the femur (thighbone) and tibia (shinbone) The Femoral Recon Nail (FRN) system is an integrated nailing system designed to adapt to multiple surgical approaches. As part of the DePuy Synthes portfolio, the FRN leverages the global success and learnings of the EXPERT NAIL ® System and the TFN-ADVANCED Proximal Femur Nailing System (TFNA).. The FRN System provides the choice of Piriformis Fossa (PF) and Greater Trochanter (GT) entry. A supracondylar fracture is an injury to the humerus, or upper arm bone, at its narrowest point, just above the elbow. Supracondylar fractures are the most common type of upper arm injury in children

G09 crc, traction, casts

Femur Shaft Fractures: Types, Cause & Symptoms Siora

Femur fracture repair. The major metabolic phases (blue bars) of fracture healing overlap with biological stages (brown bars). The primary metabolic phases (anabolic and catabolic) of fracture healing are presented in the context of three major biological stages (inflammatory, endochondral bone formation and coupled remodelling) that encompass these phases fracture [frak´chur] 1. the breaking of a part, especially a bone. 2. a break in continuity of bone; it may be caused by trauma, twisting due to muscle spasm or indirect loss of leverage, or by disease that results in osteopenia. See illustration. Types of fractures. Treatment. Immediate first aid consists of splinting the bone with no attempt to. A type I fracture is a wedge-shaped pure cleavage fracture of the lateral tibial plateau, with a displacement or depression less than 4mm. They are caused by the lateral femoral condyle being driven into the articular surface of the tibial plateau 1.Age-Fracture is common in old and children then in young persons i.e in extremes of age. Eg.- Greenstick Fracture- Mostly in case of Children. Fracture of neck of femur- Mostly in case of Old. 2.Sex:-Fracture of neck of femur and colles Fracture are more common in female. 3.History:-History of trauma, Violence, disease Etc. Symptoms:

The higher early CPR rate with the cementless stems in OA was the result of the higher revisions for fracture and loosening , whereas fracture, loosening, and dislocation resulted in a higher CPR in femoral neck fractures treated with THA . There was no difference in the CPR between the two stem fixation groups used to treat OA or a femoral. The prospective study include 77 patients with closed unstable intertrochanteric fracture classified as AO 31A2 & 31A3 was conducted in our institute, over a period of 24 months between June 2008 to August 2011 in patients having unstable trochanteric fractures of femur with minimum follow-up of 24 weeks and maximum follow-up of 2 year Ankle Fractures Elbow Fractures Femur Fractures Forearm Fractures Growth Plate (Physeal Fractures) Tibial Shaft Fractures Safety Safety. Fractures of the proximal tibial epiphysis and apophysis are rare. Causes include overuse injuries, sports, childe abuse, juvenile arthritis, frostbite, radiation, and chemotherapy. Failure to diagnose these injuries can lead to significant long term. Limping in children is fairly common. The list of potential etiologies is long and varied and ranges from the benign to the life-threatening. [1, 2, 3] Patients most often present to their primary care physician or an emergency department for initial evaluation.An understanding of normal and abnormal gait is critical

Intertrochanteric fractures of the femurFemoral neckSupracondylar Femur FractureGEMC: Pediatric Orthopedic Emergencies: Resident TrainingDistal humerus fracturesMalleolar

Femoral Neck Fractures The femoral neck is the most common location for a hip fracture, accounting for 45% to 53% of hip fractures. Per 100,000 person years, approximately 27.7 femoral neck fractures occur in men and 63.3 occur in women. The femoral neck is the region of the femur bounded by the femoral head proximally and the greater and. 1 Introduction2 The Arms3 The Neck4 The Abdomen5 The Legs6 Complete the Examination Introduction Introduce yourself to the patient Wash your hands Briefly explain to the patient what the examination involves Position the patient supine Assess the patient from the end of the bed Look for signs of obvious vascular compromise Comment on any items [ Colles Fracture, named after and described by Abraham Colle's in 1814, is a fracture of the distal radius in the forearm with specific dorsal and radial displacement of the wrist and the hand. Basically, it occurs when the radius of the bone in the forearm breaks. The radius is the larger of the two main bones in the forearm If the distal fracture segment tilts laterally it alters the carrying angle of elbow. Due to the impact, there can also be a rotational displacement of the fracture segment. If there is supination of the fracture segment then it leads to valgus deformity and, with pronation it results in varus deformity Guidance. This guideline covers assessing and managing pelvic fractures, open fractures and severe ankle fractures (known as pilon fractures and intra-articular distal tibia fractures) in pre-hospital settings (including ambulance services), emergency departments and major trauma centres. It aims to reduce deaths and long-term health problems.