DDx
Media Gallery
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A subcapital femoral neck fracture. Slight compression of the femoral head onto the femoral neck can be seen. Note the cortical break medially. This fracture could be missed if not closely evaluated.
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A view of the contralateral hip for comparison.
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Intraoperative x-ray film (fluoroscopic view) of placement of the lag screw.
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Addition of a superior derotational screw to maintain alignment and allow compression.
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Internal fixation of the subcapital femoral neck fracture with a screw and short side plate with an additional derotational screw above. Final anteroposterior view.
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Garden I femoral neck fracture. Note the valgus impaction with compression of the superior femoral head-neck junction.
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Lateral view of a Garden I femoral neck fracture. Compression of the head-neck junction inferiorly.
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Anteroposterior view of the pelvis with a displaced femoral neck fracture.
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Lateral view of a displaced femoral neck fracture.
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Displaced femoral neck fracture treated with a conventional, noncemented monopolar hemiarthroplasty.
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Lateral view of a unipolar hemiarthroplasty.
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An example of a calcar replacement hemiarthroplasty. A low femoral neck fracture extending into the calcar femoralis, not amenable to internal fixation or conventional hemiarthroplasty, requiring a calcar replacement prosthesis.
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A lateral x-ray film of a calcar replacement hemiarthroplasty.
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