Category Archive: surgical procedures

7.3mm cannulated screws

prep and drape 7.3 mm screws

There is a particular type of hip fracture that is often fixed with screws.  This type of fracture is called an “impacted” femoral neck fracture.  In this fracture, the femoral neck crumples slightly but does not break completely in half and the femoral head is still in a relatively normal position.   A relatively minor surgical …

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hemiarthroplasty

hemiarthroplasty

Hemiarthroplasty literally means “half of a hip replacement”.  In this case, the fracture occurs across the neck of the femur and the best way to treat the problem is to remove the fractured femoral and replace it with a new one.  This type of surgery allows the patient to put full weight on the operated …

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trochanteric femoral nail surgery

hip fracture

In this example we are going to look at the step by step images that are seen on the intra-operative xray machine during fixation of an intertrochanteric femur fracture.  First, the background.  This in a 80 year old woman who fell at home the day before the operation.  She sustained an inter-trochanteric right sided femur …

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trochanteric femoral nail intraoperative imaging

hip fracture

Once the patient is properly prepped and draped, the operation begins.  The following sequence of images was captured on the intra-operative C-arm which takes real time x-rays of the operation during the course of fracture fixation.                                    Here is the text of the operation note, which describes the steps in detail….. PREOPERATIVE DIAGNOSIS:  Intertrochanteric femur …

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