By vgreene, 22 January, 2015 Femoral neck fx: If stable,1 ORIF [M]; if unstable,2 total arthroplasty3 [M] or hemiarthroplasty [S] (uni- or bipolar)3 w/ cemented femoral stems via direct lateral approach4 [M]
By vgreene, 22 January, 2015 Intertrochanteric fx: If stable,1 utilize sliding hip screw or cephalomedullary device [S]; if unstable,2 utilize cephalomedullary device [M]
By vgreene, 22 January, 2015 If subtrochanteric or reverse obliquity fx: Utilize cephalomedullary device [S]
By vgreene, 22 January, 2015 Manage pain: regional analgesia by trained provider is best [S], via femoral nerve or fascia iliaca compartment block; avoid pre-op traction [M]
By vgreene, 22 January, 2015 Obtain initial x-ray: if negative but clinical concern persists, MRI [M]