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Author: admin, 02.12.2013. Category: What Is Organic Food

Hemiarthroplasty leads to suboptimal outcomes in active older patients, with acetabular erosion & pain in 20%.
Infection rates have been higher among patients undergoing arthroplasty using the posterior approach compared with other approaches to the hip in these patients. If these complications are avoided, these patients do better than arthroplasty patients of any kind. Urgent reduction of femoral neck fractures has been shown to reduce the risk of avascular necrosis in patients undergoing internal fixation of displaced femoral neck fractures.

However, mortality & morbidity rates have been shown to be higher when the medical condition of these patients is not optimised before surgery.
It is recommended that if this manouver, which should rely primarily on extension & internal rotation, does not reduce the hip satisfactorily under fluoroscopic control, then the surgeon should proceed to an open reduction rather than engage in repeated attempts with greater force, which could damage the blood supply to the femoral head. Some authorities believe that while the XR may look reduced the head has actually rotated on the neck, & there is a higher risk of vascular problems. After reduction, the outline of the head on the neck should present a gentle S on every view.

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