Abstract
Aside from the decision-making in how to fix an extracapsular hip fracture, surgeons must be conversant with systems, implants and how to maximize their potential in the shortest operative time. We present a series of steps used in our unit when performing both DHS and intramedullary nail surgery to avoid the commonest problems and maximize our patients’ recovery potential.
Highlights
Surgical management of extracapsular neck of femur fractures is constantly evolving but, arguably, its perception as an operation for junior surgeons in training is not
In this article we present some simple hints and tricks that can be employed in the management of these fractures, offering help to junior and senior surgeons alike
An instrument may be passed over the anterior femoral neck and translated floorwards to reduce the neck angulation, conventionally through the incision to be used for the femoral neck screw Fig. (1)
Summary
Surgical management of extracapsular neck of femur fractures is constantly evolving but, arguably, its perception as an operation for junior surgeons in training is not. This belies the potential complexity of the surgery and a very high level of morbidity and mortality. The surgical decision-making is sometimes difficult and poor fixation can lead to catastrophic outcomes. In this article we present some simple hints and tricks that can be employed in the management of these fractures, offering help to junior and senior surgeons alike
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