Full text J Bone Joint Surg Am. 2003 May;85-A(5):899-904

Wheeless' Textbook of Orthopaedics
- hip dislocations are typically caused by high-energy trauma, usually from motor-vehicle accidents. - they occur most frequently in young patients; - types of dislocations: - anterior dislocation - central acetabular fracture dislocations - posterior hip dislocations

Full text version of article in eMJA

Wheeless' Textbook of Orthopaedics Extensive menu on this topic includes -
Classification, Radiography, Woek-up, Treatment

Locking-Screw Compression Hip Screw for use with Retrograde Intramedullary Nailing in the Treatment of Ipsilateral Femoral Neck and Shaft Fractures Mark W. Hanna, MD 2003 Annual Meeting Georgia Orthopaedic Society

A 10 Year Longitudinal Study AAOS Meeting Abstract 2005

Archived 2003. UPMC. The introduction of the intramedullary hip screw (IMHS) was hailed as a solution for the treatment of complex intertrochanteric (IT) and subtrochanteric (ST) femur fractures. In fixation with the IMHS benefits of intramedullary shaft stabilization are combined with the advantages of sliding hip screw fixation. Fixation with the IMHS is in the canal versus on the lateral cortex with the Dynamic Hip Screw (DHS). This effect decreases the lever arm of the implant and reduces the bending strain on the implant. This biomechanical advantage enables more rigid fixation of complex fractures, and, thus, allows for earlier mobilization. The insertion technique of the IMHS also limits soft tissue disruption, which provides for a theoretical decreased blood loss and fewer problems with wound and fracture healing. One type of intramedullary sliding hip screw, the Gamma Nail (GN) (Howmedica, Rutherford, NJ) was first used in the U.S. in the late 1980ճ. Several studies indicated high rates of complications with use of the GN such as periprosthetic femur fracture (reported to range from 4% to 10%). Other anecdotal complications reported include intraoperative fracture, malunion, and lag screw cut out. The present observational study reports our experience with the GN for all surgeons at the authorճ institution.

Hip fracture is a common serious injury that occurs mainly in older people. For many previously fit patients it means loss of prior full mobility; for some frailer patients the permanent loss of the ability to live at home. And for the frailest of all it may bring pain, confusion and disruption to complicate an already distressing last illness. Mortality after hip fracture is high: around 30% at one year. Despite significant improvements in both surgery and rehabilitation in recent decades, hip fracture remains, for patients and their carers, a much-feared injury. Highly Reputable

Hip padding systems

The proximal femur section of the AO Surgery Reference. The whole surgical management described, including decision-making support, approaches, and surgical procedures. Highly Reputable

Meta-analysis of 27 papers on Regional Nerve Block in Fractured Neck of Femura. Conclusion: In patients with suspected fractured neck of femur, regional nerve block may be of benefit in reducing parenteral analgesic requirements.
Best BETs - Best Evidence Topics Expert

Hip fracture is a common, serious injury which occurs predominantly in the elderly. The care of hip fracture patients is complex, multidisciplinary and multi-agency. Trauma services vary in structure and resources available to them for the care and rehabilitation of hip fracture patients. The Scottish Hip Fracture audit aims to improve services for these patients by providing high quality relevant data on the care and rehabilitation of hip fracture patients

Wheel definition: - between lesser trochanter and 5 cm distal, even as far as center of isthmus of the femoral shaft; - technically starts below the lesser tuberosity; - medial and posteromedial cortex is a site of high compressive forces, while the lateral cortex experiences high tensile stressesess' Textbook of Orthopaedics

The authors evaluated two hypothetical interventions to prevent hip fracture in the overall female population and in a high-risk female population. For one intervention the authors assumed treatment costs approximating treatment with bisphosphonates, and for the other intervention the authors assumed treatment costs approximating those of hormone replacement therapy (HRT). Highly Reputable

Archive Copy 2004: University of Alabama Trauma Protocols