Proximal femur & Hip Fixation
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The lateral approach is used for insertion of fixation devices after closed reduction of a proximal femoral fracture. Reduction of a displaced fracture is usually done with a fracture table, or alternatively a large distractor spanning the hip joint. After satisfactory reduction is confirmed by image intensifier, the lateral approach can be used for insertion of a sliding hip screw or multiple screws. The approach provides limited access to the lateral surface of the femur sufficient for hardware placement. The incision can be extended proximally to accommodate a trochanteric stabilizing plate (TSP), or even anteriorly so that it becomes an anterolateral approach with direct, although limited, access to the femoral neck.
This video in 30 seconds
This video covers proximal femur and hip fixation using the lateral approach after closed reduction of a proximal femoral fracture. The description explains the reduction methods and the fixation devices that can be inserted through this approach.
Key points
- The lateral approach for insertion of fixation devices after closed reduction is covered
- Reduction using a fracture table or a large distractor spanning the hip joint is described
- Fixation options described include a sliding hip screw or multiple screws
- Extension of the incision to accommodate a trochanteric stabilizing plate is discussed
Video Overview
This video presents “Proximal femur & Hip Fixation” — The lateral approach is used for insertion of fixation devices after closed reduction of a proximal femoral fracture. Reduction of a displaced fracture is usually done with a fracture table, or alternatively a large distractor spanning the. Whether you are preparing for a procedure, studying the technique, or learning how a condition is assessed, the recording shows the process as it is performed in practice.
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Educational content only — not a substitute for professional medical advice.
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