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Orthopaedics
Periprosthetic Fractures of the Hip (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Periprosthetic Fractures (AO Foundation)
What’s inside
3 sections · 106 slides
Overview
- Introduction
- Periprosthetic hip fractures: scope
- Principles of decision making
- Clinical and radiographic assessment
- Clinical signs
- Clinical signs
- Standard radiographs
- CT and comparison with prior films
- Blood loss management
- Blood loss management
- Classification
- UCPF classification of the femur
- UCPF classification of the femur
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- UCPF type tree: hip femur (IV.3)
- Della Valle classification: I and II
- Della Valle classification: III to V
- Della Valle type tree: acetabulum
- Trochanteric fractures (IV.3-A)
- Trochanteric fractures: definition
- Treatment options: trochanteric fractures
- Treatment options: trochanteric fractures (cont.)
- Tension band wiring: greater trochanter
- Tension band wiring: greater trochanter
- Stable stem, good bone (IV.3-B1)
- IV.3-B1: definition and principles
- IV.3-B1: definition and principles
- Treatment options: IV.3-B1
- Treatment options: IV.3-B1
- Treatment options: IV.3-B1 (continued)
- Treatment options: IV.3-B1 (continued)
- Decision logic: IV.3-B1
- Plating principles around a stem
- Plating principles around a stem
- Adjunct fixation around the stem
- Adjunct fixation around the stem
- Isolated cerclage: steps
- Isolated cerclage: steps
- Loose stem, good bone (IV.3-B2)
- IV.3-B2: definition
- Treatment options: IV.3-B2
- Treatment options: IV.3-B2 (cont.)
- Long-stem revision: principles
- Long-stem revision: principles
- Long-stem revision: steps
- Long-stem revision: steps
- Loose stem, poor bone (IV.3-B3)
- IV.3-B3: definition
- Treatment options: IV.3-B3
- Treatment options: IV.3-B3 (cont.)
- Decision logic: loose stem (B2, B3)
- Decision logic: loose stem (B2, B3)
- Proximal femoral replacement
- Proximal femoral replacement
- Abductor mechanism and insufficiency
- Abductor mechanism and insufficiency
- Fracture distant to the stem (IV.3-C)
- IV.3-C: definition
- IV.3-C: definition
- Treatment options: IV.3-C
- Treatment options: IV.3-C (cont.)
- Retrograde nail plus lateral plate
- Retrograde nail plus lateral plate
- Periprosthetic acetabular fractures
- Intraoperative acetabular fractures
- Treatment options: acetabulum
- Treatment options: acetabulum (cont.)
- Treatment options: acetabulum (continued)
- Treatment options: acetabulum (continued) (cont.)
- Decision logic: acetabular fractures
- Decision logic: acetabular fractures
- Multihole press-fit cup revision
- Multihole press-fit cup revision
- Antiprotrusio cage
- Antiprotrusio cage
- ORIF of posterior fractures
- ORIF of posterior fractures
- Anterior, transverse and protrusio fractures
- Anterior, transverse and protrusio fractures
Approaches, positioning and closure
- Approaches to the femur
- Approaches to the femur
- Approaches to the acetabulum
- Approaches to the acetabulum
- Extended trochanteric osteotomy
- Extended trochanteric osteotomy
- Positioning and closure
- Positioning and closure
Aftercare and complications
- Aftercare following ORIF
- Aftercare following ORIF
- Weight bearing and follow-up films
- Complications
- Complications
- Take-home messages
- References (1 of 8)
- References (2 of 8)
- References (3 of 8)
- References (4 of 8)
- References (5 of 8)
- References (6 of 8)
- References (7 of 8)
- References (8 of 8)
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