ºÝºÝߣshows by User: jedbazuka / http://www.slideshare.net/images/logo.gif ºÝºÝߣshows by User: jedbazuka / Fri, 31 Mar 2017 01:05:18 GMT ºÝºÝߣShare feed for ºÝºÝߣshows by User: jedbazuka Femoral fracture /slideshow/femoral-fracture/74017665 femoralfracture-170331010518
1) Subtrochanteric Fracture Subtrochanteric typically defined as area from lesser trochanter to 5cm distal fractures with an associated intertrochanteric component may be called peritrochanteric fracture. *Unique Aspect Blood loss is greater than with femoral neck or trochanteric fractures – covered with anastomosing branches of the medial and lateral circumflex femoral arteries branch of profunda femoris trunk. 2) Femoral Shaft Fracture 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-vascularized *Age -usually a fracture of young adults and results from a high energy injury -elderly patients should be considered ‘pathological’ until proved otherwise -children under 4 years the suspected possibility of physical abuse *FRACTURES ASSOCIATED WITH VASCULAR INJURY Warning signs of an associated vascular injury are (1) excessive bleeding or haematoma formation; and (2) paraesthesia, pallor or pulselessness in the leg and foot. ~Warm ischemia in 2-3H ~If > 6H – salvage not possible *‘FLOATING KNEE’ Ipsilateral fractures of the femur and tibia may leave the knee joint ‘floating’ 3) Distal Femoral Fracture Defined as fractures from articular surface to 5cm above metaphyseal flare *clinical feature The knee is swollen because of a haemarthrosis – this can be severe enough to cause blistering later Movement is too painful to be attempted The tibial pulses should always be checked to ensure the popliteal artery was not injured in the fracture. Reference: Apley's System of Orthopaedic and Fracture (9th edition) ]]>
1) Subtrochanteric Fracture Subtrochanteric typically defined as area from lesser trochanter to 5cm distal fractures with an associated intertrochanteric component may be called peritrochanteric fracture. *Unique Aspect Blood loss is greater than with femoral neck or trochanteric fractures – covered with anastomosing branches of the medial and lateral circumflex femoral arteries branch of profunda femoris trunk. 2) Femoral Shaft Fracture 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-vascularized *Age -usually a fracture of young adults and results from a high energy injury -elderly patients should be considered ‘pathological’ until proved otherwise -children under 4 years the suspected possibility of physical abuse *FRACTURES ASSOCIATED WITH VASCULAR INJURY Warning signs of an associated vascular injury are (1) excessive bleeding or haematoma formation; and (2) paraesthesia, pallor or pulselessness in the leg and foot. ~Warm ischemia in 2-3H ~If > 6H – salvage not possible *‘FLOATING KNEE’ Ipsilateral fractures of the femur and tibia may leave the knee joint ‘floating’ 3) Distal Femoral Fracture Defined as fractures from articular surface to 5cm above metaphyseal flare *clinical feature The knee is swollen because of a haemarthrosis – this can be severe enough to cause blistering later Movement is too painful to be attempted The tibial pulses should always be checked to ensure the popliteal artery was not injured in the fracture. Reference: Apley's System of Orthopaedic and Fracture (9th edition) ]]> Fri, 31 Mar 2017 01:05:18 GMT /slideshow/femoral-fracture/74017665 jedbazuka@slideshare.net(jedbazuka) Femoral fracture jedbazuka 1) Subtrochanteric Fracture Subtrochanteric typically defined as area from lesser trochanter to 5cm distal fractures with an associated intertrochanteric component may be called peritrochanteric fracture. *Unique Aspect Blood loss is greater than with femoral neck or trochanteric fractures – covered with anastomosing branches of the medial and lateral circumflex femoral arteries branch of profunda femoris trunk. 2) Femoral Shaft Fracture 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-vascularized *Age -usually a fracture of young adults and results from a high energy injury -elderly patients should be considered ‘pathological’ until proved otherwise -children under 4 years the suspected possibility of physical abuse *FRACTURES ASSOCIATED WITH VASCULAR INJURY Warning signs of an associated vascular injury are (1) excessive bleeding or haematoma formation; and (2) paraesthesia, pallor or pulselessness in the leg and foot. ~Warm ischemia in 2-3H ~If > 6H – salvage not possible *‘FLOATING KNEE’ Ipsilateral fractures of the femur and tibia may leave the knee joint ‘floating’ 3) Distal Femoral Fracture Defined as fractures from articular surface to 5cm above metaphyseal flare *clinical feature The knee is swollen because of a haemarthrosis – this can be severe enough to cause blistering later Movement is too painful to be attempted The tibial pulses should always be checked to ensure the popliteal artery was not injured in the fracture. Reference: Apley's System of Orthopaedic and Fracture (9th edition) <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/femoralfracture-170331010518-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> 1) Subtrochanteric Fracture Subtrochanteric typically defined as area from lesser trochanter to 5cm distal fractures with an associated intertrochanteric component may be called peritrochanteric fracture. *Unique Aspect Blood loss is greater than with femoral neck or trochanteric fractures – covered with anastomosing branches of the medial and lateral circumflex femoral arteries branch of profunda femoris trunk. 2) Femoral Shaft Fracture 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-vascularized *Age -usually a fracture of young adults and results from a high energy injury -elderly patients should be considered ‘pathological’ until proved otherwise -children under 4 years the suspected possibility of physical abuse *FRACTURES ASSOCIATED WITH VASCULAR INJURY Warning signs of an associated vascular injury are (1) excessive bleeding or haematoma formation; and (2) paraesthesia, pallor or pulselessness in the leg and foot. ~Warm ischemia in 2-3H ~If &gt; 6H – salvage not possible *‘FLOATING KNEE’ Ipsilateral fractures of the femur and tibia may leave the knee joint ‘floating’ 3) Distal Femoral Fracture Defined as fractures from articular surface to 5cm above metaphyseal flare *clinical feature The knee is swollen because of a haemarthrosis – this can be severe enough to cause blistering later Movement is too painful to be attempted The tibial pulses should always be checked to ensure the popliteal artery was not injured in the fracture. Reference: Apley&#39;s System of Orthopaedic and Fracture (9th edition)
Femoral fracture from aya tya
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