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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