OBJECTIVE: To evaluate the therapeutic outcome of artificial total hip arthroplasty (THA) with collum femoris preserving for hip joint disease in young and. Neck of femur fractures (NOF) are common injuries sustained by older patients who are both more likely to have unsteadiness of gait and reduced bone mineral . femoral neck is intracapsular, bathed in synovial fluid; lacks periosteal % associated with femoral neck fractures; treat femoral neck first.

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Garden Classification based on AP radiographs and does not consider lateral or sagittal plane alignment. X-ray showing a suspected compressive subcapital fracture as a radiodense line.

DVT can occur without causing symptoms. Epidemiology, risk factors, falls, energy absorption, hip protectors, and prevention”. The fracture typically takes 3—6 months to femurr. She is unable to bear weight on the fgaktur, and a new radiograph reveals varus displacement of her fracture.

The most common causes of weakness in bone are:. Skeletal traction pending surgery is not supported by the evidence. Surgical treatment outweighs the risks of nonsurgical treatment which requires extensive bedrest. Frog leg views are to be avoided, as they may cause severe pain and further displace the fracture. There is not enough evidence to ascertain what are the best strategies to promote walking after hip fracture fraktuf. Which of the following is true regarding timing of surgical fixation and post-operative mortality?

Therefore, identifying why the fall occurred, and implementing treatments or changes, is key to reducing the occurrence of hip fractures.


The excellent and good rate was This may cause infection of the healing bone and contamination of the implants. Hip fracture patients are at considerable risk for thromboemoblismblood clots that dislodge and travel in the bloodstream.

Proximal femur – Diagnosis – AO Surgery Reference

Trauma such as a fall [1] [3]. Operative Techniques in Orthopaedic Trauma Surgery. All patients were followed up for years, with an average of 5.

Pain is also significant, and can also result in immobilization, so patients are encouraged to become mobile as soon as possible, often with the assistance of physical therapy.

They most often occur as a result of a fall. In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplastyreplacing the broken part of the bone with a metal implant. Multiple contributing factors are often identified.

Many people are unwell before breaking a hip; it is common for the break to have been caused by a fall due to some illness, especially in the elderly. Retrieved 25 April AO A1 – A2.

Falling is one of the most common risk factors for hip fractures. Regardless, the surgery is a major stress, particularly in the elderly. All populations experience hip fractures but numbers vary with race, gender, and age. The most common cause for hip fractures in the elderly is osteoporosis; if this is the case, treatment of the fraktuur can well reduce the risk of further fracture. Currently, only 1 in 4 patients after a hip fracture receives treatment and work up for osteoporosis, the underlying cause of most of the fractures.


Hip fractures are very dangerous episodes especially for elderly and frail patients. Retrieved 23 April An axial load along the shaft of the femur results in compressive stress.

Femoral Neck Fractures

Circulation to parts of the lungs are cut off which can be very dangerous. Scottish Intercollegiate Guidelines Network.

Non-operative treatment is now limited to only the most medically unstable or demented patients, or those who are nonambulatory at baseline with minimal pain during transfers. Bending load at the neck of the femur causes tensile stress along the upper part of the neck and compressive stress along the lower part of the neck.

The prime symptoms were pain, difficult walk and limp. Most of the recovery of walking ability and activities of daily living occurs within 6 months of the fracture.

Hip fractures rarely result in neurological or vascular injury.

[Artificial total hip arthroplasty with collum femoris preserving for treating hip joint].

She is an avid golfer and walks the course on most days. The labrum lines the circumference of the acetabulum to provide stability and shock absorption. What is the most appropriate coloum treatment? OA Principles of Fracture management. This study cites the following primary source: Fractures and cartilage injuries Sx2—