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Author Topic: Hip fracture  (Read 2657 times)

Offline bane

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Hip fracture
« on: 28/07/2004 10:10:43 »
I am doing some research on hip fracture. I got case study:

Female. 46years old. 7years in menopause.

Dg. Fractura Colli Femoris l. sin. - Garden 2 or 3

Fracture occured in proximal 1/3 of femoral neck, close to head of femur. Fractured fragment is slightly rotated. Initial therapy: traction.
5 weeks later, consilium concluded that there was vitium artis.

I should consider this case study and recommend threatmant. A little bit too much for 4th year med student.

Should I consider complete arthroplasty without cement? I red something about using tendines from abductor muscles to ameliorate healing process. I belive it is called Gides procedure. (sorry if I mis-spelt). 3rd option is traction at night and physical therapy with walking using crutches during day.

Thanks!
btw. English is not my native language. Sorry for bad grammer and spelling.


 

Offline bezoar

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Re: Hip fracture
« Reply #1 on: 31/07/2004 16:53:01 »
She needs some endocrine workup.  39 is awfully young to go through menopause.  Probably has significant osteoarthritis if she is 7 years into menopause without hormone replacement.
« Last Edit: 31/07/2004 16:54:20 by bezoar »
 

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Re: Hip fracture
« Reply #1 on: 31/07/2004 16:53:01 »

 

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