Intracapsular fracture neck of femur

Case contributed by Dr Mohammad Osama Hussein Yonso

Presentation

The patient presented with a history of falls from a 3-meter height he landed on his left pelvis and presented with no pain or deformity noted in other parts of his body no back pain no upper limb pain or deformity no pain related to another leg.

Patient Data

Age: 60 years
Gender: Male

A left hip neck fracture is noted.

This fracture is classified according to Garden classification as Garden stage III.

Axial bone window and 3d CT scan high-resolution stock photography show complete left hip fracture with incomplete displacement.

Post operation

x_ray

The left neck of femur fracture is noted with fixation by Asnis Cannulated Screws in situ with good alignment.

Case Discussion

In patients who are medically stable and without significant comorbid illness, surgery should be performed within 24 hours.

Delay in surgical repair will result in postponement of full weight bearing status, leading to delayed functional recovery. In addition, prolonged bed rest may increase the risk of medical complications, including deep vein thrombosis, pneumonia, urinary tract infection, and skin breakdown.

The patient was referred to the general hospital for the necessary procedure. Pelvis CT scan was done. The patient underwent (CRIF) closed reduction and internal (Asnis Cannulated Screws) fixation of a left hip neck fracture.

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