CHAPTER 50 A hip fracture is usually a break in the neck of the femur. The fracture may be pinned with a nail, a screw, or a screw and plate. Possible equipment needed for the procedure includes hip retractors. A brief description of the hip-pinning procedure follows: 1. An Israel retractor is used for muscle retraction. 2. A Hibbs retractor is used for visualization of the hip joint. 3. A Bennett elevator is used to raise the femur into position. 4. A Scott-McCracken elevator is used to remove periosteum. 5. A Hohmann retractor is used to hold soft tissue back from the operative site. 6. An Adson suction tip with tubing is used for visualization. 7. A drill guide is used to show the angle of drilling. 8. A drill is used to make a hole for the nail or the screw. 9. A depth gauge is used to determine the length of the dynamic hip screw (DHS). 11. If a plate is needed, it is chosen to fit the femur. A drill is used to start the screw holes; a depth gauge is used to determine the screw length; and a screwdriver is used to tighten the screws.
Hip Fracture
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