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Quick Scroll orthopaedics : femoral neck avascular necrosis 01.28.07 (1 year ago) #1

avascular necrosis of femoral neck is commonest in which of the foll #s
1.gorden 1 & 2
2.gorden 3 & 4
3.subtrochanteric #
4.basotrochanteric #
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Quick Scroll 04.14.07 (1 year ago) #2

optiion b..ref maheshwari..
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Quick Scroll 04.14.07 (1 year ago) #3

Why you think is b? can you explain?
thanks.
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Quick Scroll Avascular necrosis 12.14.07 (1 year ago) #4

Avascular necrosis(avn) occurs due to disruption of blood supply to femoral head.

Intertrochanteric and subtrochanteric fractures are extracapsular fractures, blood supply to the femoral head is preserved and chances of avn are low

Intracapsular fractures cause disruption of blood supply to the femoral head by
1. direct disruption of blood supply
2. tamponading effect of the fracture hematoma

Although AVN can occur in undisplaced intracapsular fractures, displaced fractures (Garden 3 & 4) have been shown to be at higher risk for AVN
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Quick Scroll 07.29.08 (5 months ago) #5

gr8 job. icon_biggrin.gif
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Quick Scroll 09.09.08 (4 months ago) #6

GORDON 3 AND 4.
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Quick Scroll 09.29.08 (3 months ago) #7

risk of AVN are there in every of femoral neck fracture however in garden type 3 and 4, risk is almost 100%.
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