EPIDEMIOLOGY BIMODAL DISTRIBUTION 250,000 Hip fractures annually, expected t o double by 2050, Elderly Doubles each decade beyond age 50, Young high energy trauma ANATOMY BLOOD SUPPLY GARDEN CLASSIFICATION •Poor interobserver reliability •Modified to: – Non-displaced •Garden I (valgus impacted) •Garden II (non-displaced) – Displaced •Garden III and IV I Valgus impacted or incomplete II Complete Non-displaced III Complete Partial displacement IV Complete Full displacement Pauwels Classification stable less-stable unstable PATIENTS FACTOR • Young (active) High energy injuries Often multi-trauma • Elderly Lower energy injury (falls) Co-morbidities Pre-existing hip disease TREATMENT GOALS Geriatric Patients • Mobilize •
Life is so simple,don't try to make it complicated!
Life is so simple,don't try to make it complicated!