Tiêu đề Ortho Trauma LL ✅

-Avoid if a/w femoral neck # as to prevent further displacement femoral neck supply that may disrupts blood supply to femoral head Traction (Maintenance) -Skin traction / skeletal traction through the upper tibial pin -3 weeks -After 3 weeks, patient is allowed to walk with crutches but avoid any weight bearing feasible -Medical contraindication to operative tx (sepsis) OPERATIVE TX Internal/ External fixation - Indicated for unstable hips and fractures -Resulting in significant distortion of ball and socket congruence -# fixed with lag screws or special buttressing plate COMPX Early ● Sciatic nerve injury ● Vascular injury (sup gluteal artery torn) ● Associated fractured femoral shaft Late ● Osteonecrosis ● Secondary osteoarthritis ● Myositis ossificans COMPX Early ● Sciatic nerve injury ● Vascular injury ● Associated fractured femoral shaft Late ● Osteonecrosis ● Secondary osteoarthritis ● Myositis ossificans COMPX ● Sciatic nerve injury ● Acetabular fractures ● Avascular necrosis (Osteonecrosis of the femoral head may occur even if the hip is not fully dislocated) ● Infection Iman, Izzaty, Nisa, Lissa (4/3/21) Forti