salvage

Definition

Fracture below lesser trochanter / proximal 5 cm femur

Aetiology

Young patients / high velocity injuries

Old patients / osteoporosis

Diagnosis

Xray

- sclerosis

CT

Dislocated Hip

Issue

Hip has been out for some time

- degree of acetabular dysplasia evident

- less time for remodelling

- increased instability if not addressed

Management

Open reduction + FDRO / Pelvic Osteotomy 

- usually perform pelvic osteotomy to correct acetabular dysplasia

- reserve FDRO for > 3 years / or if difficult reducing hip