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M Abolghasemian, MDA th l tArthroplasty surgeonShafa hospital, IUMS
Case 1
78 y old female
Falling down
Medically fit
What would you do?What would you do?
Dynamic hip screw (DHS)
Blade plate
D i d l (DCS) Dynamic condylar screw (DCS)
Cephalomedullary nail Cephalomedullary nail
Arthroplastyp y
AO / OTA
Case 2
80y old female Diabetic CVA 3 years ago Left hemiparesis AF, under Warfarin ththerapy
What would you do? Dynamic hip screw (DHS)
Bl d l Blade plate
Dynamic condylar screw Dynamic condylar screw (DCS)
Cephalomedullary nail
Arthroplasty
Unsuccessful closed d ireduction
O d ti d Open reduction 2 days later
3 days later
Dislocation
Followed by infection
What would you do next?
2 months in skeletal traction and IV AB !!traction and IV AB !!
Final result
What would be your nextWhat would be your next question?
64y old woman
Lt hip pain following f lli dfalling down
Hi t f History of bisphosphonate intake for 7 years7 y
Treatment options?
Conventional IM nail?
Cephalomedullary nail
Fixed angle plate
LCP
12 days latery
What would you do?What would you do?
6 weeks later
Case 4
72y old lady
Intertrochanteric Fx one year ago
Wh ld d ?What would you do?
Refixation
Valgus osteotomy
Arthroplasty
Case 5
76 y old female
Falling down
Medically fit
What would you do?What would you do?
Dynamic hip screw (DHS)
Blade plate
D i d l (DCS) Dynamic condylar screw (DCS)
Cephalomedullary nail Cephalomedullary nail
Arthroplastyp y
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