Xray of pelvis, after dynamic condylar screw was applied in a case after removal of failed DHS
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Revision Surgery in DCS after Failed DHS
Broken screws from previous surgery visible.
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Screw Cut Out Resulting In Implant Failure of DHS In Intertrochanteric Fracture
July 26, 2011 By Leave a Comment
Xray after screw has cut out the femoral head in a patient of intertrochanteric fracture.
Screw Has Come Out Of Femoral head and Neck
It generally happens in case of wrong placement of screw or osteoposrosis.
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Fracture Neck of Femur Fixed With Dynamic Hip Screw and Derotation Screw
July 5, 2011 By Leave a Comment
A post fixation xray of fractureneck femur, fixed with dynamic hip screw system and another cancellous screw acting as derotation screw.
Dynamic Hip Screw and Cancellous Screew Acting As Derotation Screw
Derotation screw is used to counter rotational insability [Rotaion of the proximal fragment might occur in spite of the dynamic hip screw]
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Two Part Intertrochanteric Fracture of Femur – Anteroposterior View
July 3, 2011 By Leave a Comment
Intertrochanteric Fracture of femur in 56 year old man following a fall.
Intertrochanteric Fracture of Femur
It is a two part stable kind of fracture.
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Bilateral Neck Of Femur Fracture Following Trauma
June 25, 2011 By 2 Comments
Bi lateral fracture neck of femur are quiet rare and are mostly seen in females with osteomalacia.
Following xray is of 47 years old female who had fracture of both the femoral neck femur following trauma.
The patient was advised osteosynthesis for both the fractues. She wanted another opinion and did not follow.
Popularity: 2% [?]
Anterior Dislocation of Hip Treated By Closed Reduction
June 23, 2011 By Leave a Comment
Sixteen years male got injured due to fall of building and had anterior dislocation of right hip. Following photograph was taken before reduction maneuver was done.
It shows flexed and externally rotated right hip.
Clinical Photograph Shows A Flexed and Externally Rotated Hip
Here is the xray of the patient showing anterior dislocation. [Read more...]
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Xrays Of Operated United Fracture Neck Of Femur
June 23, 2011 By Leave a Comment
Following xrays are of 47 years old adult male who was operated for fracture neck of femur 4 months prior to these xrays with cancellous cannulated screws
The xrays show a well formed union of the fracture.
Here is the AP view
Here is the lateral view.
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Avascular Necrosis With Head Collapse in Operated United Fracture Neck of Femur
May 22, 2011 By Leave a Comment
This is xray of an operated fracture neck of femur that went into avascular necrosis in spite of union. This 37 years old male was operated about 7 months prior to the time this xray was taken. His chief complaint was pain and stiffness in the affected hip.
The xray shows that the fracture of neck of femur has united but there is deformation of the head with fragmentation and collapse . There is a sclerosis of the head too. Overall findings suggest avascular necrosis of the head of the femur.
Popularity: 2% [?]
Implant Failure – Xray of Broken Assembly of Dynamic Hip Screw In Intertrochanteric Fracture
April 10, 2011 By 1 Comment
82 years old male who had undergone surgery for intertrochanteric fracture of femur on his right side about 9 months back came to out patient department with complaint of knee pain.
He used to walk with help of a walker.
On examination his knee was found to be normal and xrays of both hip and knee were ordered. While his knee xrays were unremarkable, xray of his hip revealed a broken dynamic hips screw and side plate assembly.
Failed Assembly Of Dynamic Hip Screw Fixation. Fracture is not united
All the screws of the sideplate are broken and fracture is not united too.
Note: Failed DHS like this one is a difficult sitauation in elderly people. While refixation is an option, another option is hip replacement.
Popularity: 3% [?]
Fracture Bilateral Neck of Femur In A Woman With Post Polio residual Paralysis
March 14, 2011 By Leave a Comment
25 years old female presented to the OPD with complaint of pain in left hip region. She walked with a bilateral lurching gait.
Examination revealed bilateral lower limbs which appeared hypotrophied with right more than left. Hip movements were exaggerated in all the planes and both hips were found to be unstable.
The xray revealed following picture.
Bilateral Fracture Neck of Femur
The xray shows old fracture of neck of femur on both the sides. Bilateral acetabuli are malformed and right femur is more hypoplastic than left.
There was no history of any trauma.
A diagnosis of long standing bilateral neck femur fracture with probable cause as childhood osteomalacia was made.
Patient was managed on analgesics and local measures like hot fomentation.
Popularity: 2% [?]
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