Fractures du femur pdf

Femoral neck fractures, elderly, hip replacement, osteosynthesis, geriatric care. Ceci est fort naturel, car lorsquil sagit des fractures. Retrograde femoral nailing in elderly patients with. Fractures of the diaphysis, or middle of the femur, are managed differently from those at the head, neck, and trochanter see hip fractures. The first attempt at internal fixation of the proximal femur in the 1850s was by langenbeck. Supracondylar fractures of femur constitute 7% of all femoral fractures. These fractures are characterized by an uncertain prognosis in terms of both morbidity and mortality. A femoral fracture is a bone fracture that involves the femur. Review basic current treatments for femur fractures by location.

Coapteur pour fractures du col du femur et similaires. Babst department of trauma surgery, cantonal hospital lucerne, lucerne, switzerland summary this paper describes current treatment strategies of distal femoral fractures as well as their evidence based rationale. Locking plate fixation of periprosthetic femur fractures. You are the exemplar in brief foamed small note here, the slides do not progress after the penetrating trauma. Treatment of these fractures in the elderly is a challenging task for most orthopaedic surgeons. The femoral neck is the most common location for a hip fracture. You may have had surgery called an open reduction internal fixation. Early mechanical complications following fixation of proximal. Leg fractures are uncommon and occur at a rate of about one case per 10,000 population per year. Interprosthetic ip femur fracturesthose occurring between a total hip arthroplasty tha and a total knee arthroplasty tkahave been shown to complicate approximately 1. A hip fracture means a fracture of the proximal femur proximal to 5 cm below the lesser trochanter. Proximal femur fractures have significant functional repercussions in both older adults sometimes lifethreatening and younger adults socioeconomic. Seven patients presented floating knees above and below knee fractures. Femur proximal, fracture du col, fracture du massif trochanterien, prothese, osteosynthese.

Fractures of the shaft of the femur after total replacement of the hip or knee. Consider nonaccidental injury in femoral shaft injuries in infants. Femoral shaft fractures are more common than other parts of the femur. Ppt les fractures du femur powerpoint presentation free. Ipsilateral femoral neck and shaft fractures fixation with. Femoral shaft fractures orthopaedic trauma association. Evidence from two or more high strength studies with consistent findings for recommending for or against the intervention.

Il sagit volontiers dune fracture en coxa vara fermant langle cervicodiaphysaire. Dec 07, 2017 em in 5 has mastered how to offer pithy content in a condensed format. Ppt les fractures du femur powerpoint presentation. The long, straight part of the femur is called the femoral shaft. The fracture line encircles the shaft like the stripes on a candy cane. For those people under 25 years and older than 65 years, the rate increases to three cases per 10,000 population each year. Nail will not have an isthmic fit may need blocking pinsdrill bitsscrews percutaneous or open clamps nail will lock a fracture in a malreduced position as easily as it will. These types of fractures are remarkably rare and consider below one percent of thigh and hip fractures general. In this type of fracture, the break is a straight horizontal line going across the femoral shaft. Tres frequente, elle occupe une place importante dans les fractures en general et constitue les trois quart 34 des fractures du femur. The value of the tipapex distance in predicting failure of fixation of peritrochanteric fractures. Pdf fracture diaphysaire du femur traitee par osteosynthese.

A supracondylar femur fracture, also called a distal femur, is an unusual injury that occurs just above the knee joint. Ep0147265a1 materiel dosteosynthese pour le traitement des. This type of fracture has an angled line across the shaft. Moderate evidence supports operative fixation for patients with stable nondisplaced femoral neck. Get a printable copy pdf file of the complete article 1. The healing process typically takes up to six months, going through four phases. For all femur fractures, the best site for the pin is the upper tibia. Most fractures occur as a result of trauma, but some secondary fractures occur as a result of disease processes such as osteoporosis and. This author found that in 332 femur fractures in children 03 years of age fortyeight of them were due to abuse. Femur and pelvis fractures can be the result of highenergy traumatic fractures e. Common clinical presentations and the diagnosis of femur fractures are described. Strong evidence supports that children younger than thirtysix months with a diaphyseal femur fracture be evaluated for child abuse.

Femoral shaft fracture patients will receive intramedullary nailing. A displaced femoral neck fracture of the right hip is shown a because the placed fractures in this area of the femur frequently progress to nonunion or osteonecrosis at the femoral head b, which generally consist of hemiarthroplasty or replacement of the femoral head and neck with a prosthesis. Burden of disease there are many components to consider when calculating the overall cost of treatment for pediatric femoral fracture. Femur fractures that are diaphyseal fractures take place here the hip joint, in the elongated section of the upper leg, at some stage listed below the hip joint and expanding down to simply over the knee. Risk factors include osteoporosis, taking many medications, alcohol use, and metastatic cancer. Fractures of the femur in cattle are second in frequency only to fractures to the metacarpal and metatarsal bones.

Symptoms may include pain around the hip, particularly with movement, and shortening of the leg. From 1987 through 1990, 34 acute supracondylar femoral fractures in 33 patients were treated with an interlocking closedsection intramedullary nail inserted retrograde into the femur through the. Evans and others published fractures of the proximal femur find, read and cite all the research you need on researchgate. The full text of this article is available in pdf format. Patients and methods this is a retrospective study from january 2004 to december 20 in the pediatric surgery department of lome sylvanius olympio teaching hospital, from the records of patients aged 015 years with femur fractured treated surgically. They are typically sustained in highimpact trauma, such as car crashes, due to the large amount of force needed to break the bone. Les fractures du col du femur apres 50 ans emconsulte. Influence of the time to treatment on the preservation of the head of femur fractures of the femoral neck in the young patient. Your thighbone femur is the longest and strongest bone in your body.

She was placed in the recovery position during the seizure and was not restrained. As depicted in exhibit 1, the patient journey begins when a patient experiences signs and symptoms of a femur or pelvis fracture e. Eventually all the aspects of the three types of classification named above serve as decision guidance for choosing either osteosynthesis or prosthetical treatment. Fda officials revealed that the rare thigh fractures were mostly uncovered in. Within the category of femur fracture, there are different types of fractures that can occur across all age ranges due to various mechanical forces. This was a polytraumatized 59 year old man with an open femur fracture, representing the highenergy mechanism of the mcc.

One of the studies 2 reports 48 of 49 child abuserelated femur fractures occurred in the less than three year old age group. Fracture of the femur and its fixation everything you need to know. Hip fractures are the most common reason for admission to an orthopaedic trauma ward. Look for a new 5 minute video every monday on the blog. There is no consensus on what would be the ideal treatment for such cases. Em in 5 has mastered how to offer pithy content in a condensed format. A femoral neck fracture is a break of the neck of the femur, between the head and shaft of the bone. 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 replacement surgery.

Fractures femorales et tibiales autour des protheses du genou. The transcervical type of the femoral neck fracture is a contraindication for pfna ii due to the probability of rotation during fixation. Current concepts in fractures of the distal femur soucasny pohled na zlomeniny dolniho konce stehenni kosti b. Pelvis fracture patients will receive open reduction with internal fixation, utilizing plates and screws. Overview of the femur and pelvis fracture episode of care. Femur fracture classification aoota femur diaphysis bone segment 32. Femoral neck fractures and peritrochanteric fractures are equally prevalent and make up over 90 percent of proximal femur fractures. The first successful internal fixation of proximal femur fractures was done in 1875 by konig. The most common types of femoral shaft fractures include. Ce chapitre aborde le diagnostic et le traitement des fractures du femur distal.

Femur shaft fractures broken thighbone orthoinfo aaos. To apply an external fixator, the bone is straightened and large threaded pins are passed into the bone fragments above and below the fracture. Bilateral neck of femur fractures secondary to seizure. A free powerpoint ppt presentation displayed as a flash slide show on id. Just take this femur fracture recovery case study, in which a patient required the placement of a rod for a fracture in her left femur.

Enclouages centromedullaires dans le traitement des fractures. An intertrochanteric hip fracture is a break between two trochanters at the top of the shaft of the femur, just below the neck. Fourteen patients had periprosthetic femur fractures following tka with eight fractures nondisplaced and six fractures displaced. Bilateral neck of femur fractures are associated with highenergy trauma, electroconvulsive and pharamacoconvulsive therapy, and other convulsive seizures. Coapteur pour fractures du col du femur et similaires download pdf info. Shock is never the result of a single femoral shaft fracture in children look for another site of haemorrhage. Media in category fractures of the human femur the following 42 files are in this category, out of 42 total. The most common associated injurie was the patella fracture 2 cases.

With some fracture patterns or with open fractures, an external fixation device may be used. In elderly patients, they are invariably lowenergy fractures predisposed to by osteoporosis. Une fracture du femur peut survenir lors dun impact dune. When it comes to broken bones, a femur fracture is a relatively common type of bone fracture. Pdf le traitement des fractures diaphysaires du femur fdf est chirurgical. Breaking your femur can make daily tasks more difficult because its one. Because the femur is so strong, it usually takes a lot of force to break it. A 67yearold woman with chronic renal failure developed a witnessed tonicclonic seizure, lasting about 1 min. Our work is a retrospective study of 17 cases of distal femur fracture colligated in the department of orthopaedic surgery. A hip fracture is a break that occurs in the upper part of the femur thigh bone.

Distal femur lecture orthopaedic trauma association. Frequencyfrequency fractures of the femoral shaft arefractures of the femoral shaft are the most common fractures thatthe most common fractures that orthopedist see. Because the femur is such a strong bone, a broken femur excluding hip fractures is rare. The two most common types of hip fractures are pictured below next to a normal hip.

Prise en charge des fractures du femur par enclouage intramedullaire. Jul 31, 2018 the femur, your thigh bone, is the largest and strongest bone in your body. Treatment options, prognosis, postoperative complications are discussed for conservative therapy and for various forms of external and internal fixation. Objective to describe indications, different modalities and results of surgical treatment of femur fractures in children. Ao type 33c3 5 cases were more frequent on the femur, while ao type 41a3 4 cases dominate the tibia fractures. Toutes les 10 minutes une femme meurt dune fracture du col du femur. Fracture is a break of continuity of bone, joint, epiphyseal cartilage, which is total or partial. In some cases, femoral shaft fractures require not only surgery, but the placement of a steel, intramedullary rod called an intramedullary rod. There is minimal muscle tethering at this site and the knee can be bent without distorting the traction force. Car crashes, for example, are the number one cause of femur fractures.

Ep0180532a1 coapteur pour fractures du col du femur et. Nov 27, 2015 fractures of the distal third of the femur are termed supracondylar fractures and can affect the knee joint. The management of proximal femoral fractures in the elderly should be multidisciplinary, indeed the fall causing the fracture might follow a neurological, metabolic or cardiovascular disorder. Feb 12, 2018 em in 5 blog is a series of 5 minute emergency medicine lectures on high yield topics.