HIP FRACTURES-INTRACAPSULAR FRACTURE MGM

SUMMARY

SURGERY
1. Stages I & II: pins across the fracture site or a cannulated hip screw.
2. Stages III & IV: replacement of the femoral head using cemented or non-cemented hemiarthroplasty; total hip replacement or bipolar arthroplasty.

IMPLANTS
1. Bipolar implants consist of a femoral component that articulates by snap-fit into a cup that moves freely within the acetabulum.
2. Theoretically reduces friction and impact at the prosthetic-acetabular junction by allowing motion at two sites: prosthetic inner-bearing surface and prosthetic-bearing acetabular surface.
3. Acetabular erosion and protrusion should theoretically be reduced by reducing motion at the acetabulum.

Reference(s)

Cifu, D.X. (2020). Braddom’s physical medicine and rehabilitation. Elsevier. Get it on Amazon.
Cuccurullo, S. (2019). Physical medicine and rehabilitation board review. New York: Demosmedical. Get it on Amazon.
O’Young, B., Young, M.A. and Stiens, S.A. (2008). Physical Medicine and Rehabilitation Secrets. Mosby. Get it on Amazon.