Executive Editor: Amy Kapatkin General Editor: Noel Moens

Authors: Tomas Guerrero

Proximal Femur

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Craniolateral and dorsal

The craniolateral approach is commonly used to treat proximal femoral fractures. If more exposure is needed, it can be converted into a dorsal approach by performing an osteotomy of the greater trochanter.

In fractures affecting the subtrochanteric area the incision will be extended distally as needed.

For more information please see "Open approach to the femoral shaft".

Ventral approach

The ventral approach to the hip joint is a feasible alternative to treat epiphyseal and capital physeal fractures. This approach provides adequate visualization of the articular surface of the femoral head.

Approach for MIO

Minimally invasive osteosynthesis can be performed to treat capital physeal fractures using pins. The use of fluoroscopy is mandatory. Preservation of blood supply is an advantage of using this method.