9/13/2023 0 Comments Left femoral neck fracture![]() ![]() This procedure is used if the end of the bones is damaged or displaced. ![]() The pins or screws are inserted into your bone, or the screws may be attached to a metal plate that runs along your femur. Internal fixation uses metal pins or screws to hold your bone together so the fracture can heal. Whether your fracture has caused damage to the blood supply to your femoral head will also help determine which type of surgery will be needed. The type of surgery required will depend on the severity of your fracture, your age, and underlying medical conditions. There are different types of surgery used to treat femoral neck fractures. These medications help strengthen your bones by increasing your bone density.Įmergency surgery is usually recommended for hip fractures to relieve pain and restore mobility as soon as possible. Your doctor may prescribe bisphosphonates and other osteoporosis medications to help reduce your risk of another hip fracture, depending on your age. This may include over-the-counter (OTC) pain medication, such as nonsteroidal anti-inflammatory drugs ( NSAIDs), or prescription drugs, such as opioids. Pain medication provides short-term relief from pain. Treatment of femoral neck fractures usually involves surgery, medication, and rehabilitation. However, there’s still the risk that the blood supply may be disrupted. If there’s no displacement, then surgically stabilizing the fracture with screws or other hardware may be done. The standard of care for a displaced fracture where the blood supply is disrupted involves replacing the femoral head ( hemiarthroplasty or a total hip arthroplasty). Fractures that occur in places where the blood supply is not disrupted have a better chance of healing.įor these reasons, treatment for an elderly patient with displaced femoral fractures will depend upon the location of the break and the quality of the blood supply. If the blood supply to the femoral head is lost, the bone tissue will die (a process called avascular necrosis), leading to the eventual collapse of the bone. They are more common in women.Ī femoral neck fracture can tear the blood vessels and cut off the blood supply to the femoral head. More than 90 percent of these fractures occur in people older than 50. Though anyone can fracture their femoral neck, it’s considerably more common in elderly adults who have poor bone density. basicervical is the base of femoral neck. ![]() transcervical is the mid portion of femoral neck.subcapital is the femoral head and neck junction.Fractures in this area are categorized based on the location of the fracture along the femoral neck: The capsule is the area that contains the fluid that lubricates and nourishes the hip joint. ![]() Just below the femoral head is the femoral neck.įemoral neck fractures are intracapsular fractures. This is the “ball” that sits in the socket. At the top of your femur (which is your thigh bone) is the femoral head. Your hip is a ball and socket joint where your upper leg meets your pelvis. The primary risk factors is osteoporosis but also other age-related issues which might make a frail patient likely to fall (i.e.The femoral neck is the most common location for a hip fracture.The commonest cause in the elderly is generally a fall onto the side of the fracture. ![]()
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