#Femoral #Neck #Fracture #Anatomy #Nabil #Ebraheim
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Dr. Ebraheim’s academic animated video describes femoral neck fracture and fixation.
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Femoral Neck Fracture Anatomy
The neck shift angle is roughly 130 levels. Anteversion is roughly 10 levels. The calcar is an space of stress switch. It’s a posteromedial dense plate of bone. It varieties an inside strut inside the inferior a part of the femoral neck and the intertrochanteric space. No periosteum within the femoral neck and no ample callus. The fracture heals by endosteal proliferation. The medial femoral circumflex artery is a very powerful blood provide to the femoral head. In younger sufferers, harm is normally excessive power that will result in avascular necrosis. Some consider that surgical procedure must be pressing within the younger affected person as a way to decompress the compressed vessels. The extra displaced the fracture and the extra vertical the fracture, then the extra probably that the chance of problems will happen together with disruption of the retinacular vessels, avascular necrosis, and nonunion. Femoral neck discount must be anatomic, both by closed approach or open approach (if closed discount approach fails).
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