Thursday, February 4, 2010

90 - Pins, screws and Prosthesis used in Fracture neck of Femur

*When a child presents with fracture neck of femur which is less than 3 weeks old, then the fracture is managed by CLOSED REDUCTION and INTERNAL FIXATION with Austin Moore pins and Knowle's pins.

*Austin Moore pin and Knowle's pin shown in the picture above.


*X-ray of a case of Fracture neck of femur, fitted with Austin Moore pins.


*Illustration showing the Knowle's pins used in the management of fracture neck of femur.


*X-ray of a case of fracture neck of femur managed by knowle's pins.



*When an adult whose age is less than 60 years presents with a fracture neck of femur, less than 3 weeks old, then the fracture is managed by Closed/open reduction and internal fixation by MULTIPLE CANNULATED CANCELLOUS SCREWS (shown in the picture above)


*When an adult whose age is more than 60 years presents with fracture of neck of femur, less than 3 weeks old, then the next step is to assess his hip and take a decision. If there is preexisting arthritis in the patient, then Total Hip Replacement is the treatment of choice.
- But if the hip is otherwise normal, then Hemireplacement arthroplasty is done. A.M.Prosthesis is one of several prostheses used in Hemireplacement arthroplasty. 

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