![]() Operative treatment of femoral neck fractures in patients between the ages of fifteen and fifty years. Haidukewych GJ, Rothwell WS, Jacofsky DJ, Torchia ME, Berry DJ. 2002 122(1):24–8.įracture fixation in the operative management of hip fractures (FAITH): an international, multicentre, randomised controlled trial. Conservative treatment of Garden stage I femoral neck fracture in elderly patients. A systematic review of undisplaced femoral neck fracture treatments for patients over 65 years of age, with a focus on union rates and avascular necrosis. In: J Orthop Trauma Lippincott Williams and Wilkins 2019. Nonoperative geriatric hip fracture treatment is associated with increased mortality: a matched cohort study. 2007 21(8):544–8.Ĭhlebeck JD, Birch CE, Blankstein M, Kristiansen T, Bartlett CS, Schottel PC. Vertically oriented femoral neck fractures: mechanical analysis of four fixation techniques. 2001 15(5):358–60.Īminian A, Gao F, Fedoriw WW, Zhang LQ, Kalainov DM, Merk BR. Pauwels’ classification of femoral neck fractures: correct interpretation of the original. Stuttgart: Ferdinand Enke Verlag 1935.īartoníček J. Der schenkelhalsbruch ein mechanisches problem: Grund-lagen des Haeilungsvorganges Prognose und kausale Therapie. Low-angle fixation in fractures of the femoral neck. Magnetic resonance imaging identifies occult hip fractures missed by 64-slice computed tomography. Diagnosis of femoral neck fractures in patients with a femoral shaft fracture: improvement with a standard protocol. Femoral neck fractures: current management. 2017 31(7):363–8.įlorschutz AV, Langford JR, Haidukewych GJ, Koval KJ. Vertically oriented femoral neck fractures: a biomechanical comparison of 3 fixation constructs. Johnson JP, Borenstein TR, Waryasz GR, Klinge SA, McClure PK, Chambers AB, et al. Complications after intracapsular hip fractures in young adults a meta-analysis of 18 published studies involving 564 fractures. Hip fractures in adults younger than 50 years of age: epidemiology and results. Robinson CM, Court-Brown CM, McQueen MM, Christie J. Surgical management of hip fractures: an evidence-based review of the literature. Miyamoto R, Kaplan K, Levine BR, Egol KA, Zuckerman JD. Total hip arthroplasty or hemiarthroplasty for hip fracture. Therefore, it typically requires early surgical reduction and fixation with early mobilization and weight bearing in order to facilitate enhanced recovery.Bhandari M, Einhorn TA, Guy-att G, Schemitsch EH, Zura RD, Sprague S, et al. The fractures in this line are called intertrochantric fractures and are classified as per the pattern of the fracture geometry.Īfter a fracture this area of bone is notorious for uniting in varying, and sometimes problematic angles. This area is prone to fractures due to high velocity trauma in the young and trivial trauma in the elderly. This area of the femur being an important pillar for weight bearing through the skeletal system is subject to comparatively high levels of dynamic stress, pathological strain, physiological strain and trauma. The fibers of the ischiocapsular ligament attach both into the joint capsule and onto the intertrochanteric line.Ĭlinical significance Intertrochantric fractures As a consequence, the capsule of the hip joint attaches in the region of the intertrochanteric line on the anterior side, but a finger away from the intertrochanteric crest on the posterior side of the head. The distal capsular attachment on the femur follows the shape of the irregular rim between the head and the neck. The lower half, less prominent than the upper half, gives origin to the upper part of the vastus medialis. The iliofemoral ligament - the largest ligament of the human body - attaches above the line. The intertrochanteric line marks the boundary between the femoral neck and shaft anteriorly (whereas the intertrochanteric crest marks the same boundary posteriorly). The intertrochanteric line is a line upon the anterior aspect of the proximal end of the femur, extending between the lesser trochanter and the greater trochanter.
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