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4 Cards in this Set

  • Front
  • Back
Which is not true for hip dislocation?
a. 90% are posterior dislocation
b. Classicically shortened, external rotated and adducted in posterior dislocation
c. Associated with 10 % of sicatic injury in trauma patient
d. 70% occur post prothesis
e. complication include avascular necrosis and arthritis
b. internal rotated in posterior dislocation and external rotated in anterior dislocation
Reduction of posterior hip dislocation - Allis menoeuvre:
- operator stand on bed
- assistant hold down pelvis over ant iliac crests
- hip and knee flexed to 90 degree
- grasped pts ankle to provide traction
- axial traction applied behind knee w increase force & rocking motion
- additional lateral traction to proximal femur optional
Classification of NOF fracture
Intra capsular: (poor vascularity)
- capital
- subcapital
- trans cervical
Extracapsular:
- Intertrochanteric
- Pre trochanteric
Garden classification (intracapsular fracture)
1 - trabeculae angulated, non-displaced
2 - fracture completed, cortex broken, non displace
3 - femoral head abducted, internally rotated, mild displaced
4. - fully displaced
(3&4 poor prognosis, 1&2 although had up to 20% of avascular necrosis)