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Case Reports
. 2017 Feb 27:8:24-31.
doi: 10.1016/j.tcr.2017.01.016. eCollection 2017 Apr.

Literature review and case report: Current concepts for concomitant intra and extracapsular fractures of neck of femur in elderly patients

H Saleeb  1 , R Kanvinde  2 , T Rahman  3
Affiliations
Case Reports

Literature review and case report: Current concepts for concomitant intra and extracapsular fractures of neck of femur in elderly patients

H Saleeb et al. Trauma Case Rep. .

Abstract

Though the incidence of concomitant ipsilateral intracapsular and extracapsular fracture neck of femur is still a rare presentation in day to day fracture hip admissions. Cases of simultaneous ipsilateral intra- and extra-capsular neck of femur fractures are forestalled with problems relating to diagnosing this injury as well as debate regarding optimal methods of fixation versus arthroplasty. We did a literature review to assess frequency of such fracture incidence, highlight methods of treatment applied, current practice for management as well as case report presentation.

Keywords: Concomitant/simultaneous intracapsular/extracapsular fractures; Fracture fixation; Hip fracture neck of femur fracture segmental fracture hemiarthroplasty dynamic hip fixation; Hip fractures/complications; Hip fractures/radiography; Hip joint/surgery; Ipsilateral hip fractures/surgery.

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Figures

Fig. 1
Fig. 1
Algorithm for the management of segmental neck of femur fractures.
Fig. 2
Fig. 2
Initial AP X-ray on admission.
Fig. 3
Fig. 3
Initial lateral view.
Fig. 4
Fig. 4
CT scan images showing intracapsular and extracapsular fracture neck of femur.
Fig. 5
Fig. 5
CT scan images showing intracapsular and extracapsular fracture neck of femur.
Fig. 6
Fig. 6
3-D CT scan images showing intracapsular and extracapsular fracture neck of femur.
Fig. 7
Fig. 7
postoperative X-ray following THR.
Fig. 8
Fig. 8
X-ray showing dislocation of the THR.
See this image and copyright information in PMC

References

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