The fracture of the femoral neck is a common disease in the elderly, especially in women (75% of cases). The hip is the part of the bone that connects the femoral head (which articulates with the ilium, forming the hip) at the long end of this bone, and is a particularly fragile.
A femoral neck fracture can sometimes be life threatening, most often the functional prognosis of the person affected, and impede its progress so caring, so that surgical rééducationnels, are not optimal.
Causes
In 80% of cases the femoral neck fractures occur in a fall from height in the elderly. Women are affected more often due to brittle bones (osteoporosis) that often occurs after menopause. The prevention of osteoporosis therefore reduces the risk of hip fracture by increasing bone density.
In 10% of cases, these fractures are the result of a violent impact (road accident) and affect younger patients (under 50).
Less commonly, these fractures are called "pathological", that is, they are the result of a weakening of the bones made brittle by underlying disease (tumor of the bone, prolonged treatment by high doses of steroids ...).
Symptoms and Diagnosis
The diagnosis of femoral neck fracture is generally not a particular problem: the result of a fall, the patient complains of severe pain in the groin. The functional disability is total, the leg is deformed, shortened, in an abnormal position (facing out). Hematoma in the groin occurs later.
The diagnosis is confirmed by a radiograph of the hip, which shows the fracture line. Depending on the position of the line on the neck, we define different types of fractures, the most common being the transcervical fracture in the middle of the neck, with a vertical line.
The displacement of bony against each other is important to assess for further care and surgery to be performed.
The doctor supports a victim of such a fracture will carefully evaluate his condition, which can be altered by this accident. It will specify the particular patient's mental state before the fall, and the quality of its course. Indeed, the goals of rehabilitation depend on the prior function ambulatory patient (she worked properly before? She suffering from arthritis, balance disorders?).
Treatment
Treatment of a femoral neck fracture is surgical and must be undertaken quickly. Its purpose is to avoid prolonged bed rest in the elderly and the complications inherent in an asset (pressure ulcers, phlebitis, pulmonary embolism, incontinence, mental degradation ...).
Rarely, a tension setting of the affected limb will wait for a better time for an intervention.
In the elderly, the most common intervention is the establishment of a total hip replacement (known as arthroplasty), allowing immediate resumption of support on the operated limb.
More rarely, and only in case of non-displaced fracture, internal fixation is practiced by placing a plate and screws to secure the fracture.
Physical therapy that follows the transaction obviously plays a role in the recovery of walking. Sunrise and the early support are in order in case of total hip replacement.
After fixation, the support on the operated limb will be allowed until the third month.
After a few weeks of hospitalization, the patient will regain its original place to live, continuing physical therapy, often daily, to maximize the recovery of a good traction.
A femoral neck fracture can sometimes be life threatening, most often the functional prognosis of the person affected, and impede its progress so caring, so that surgical rééducationnels, are not optimal.
Causes
In 80% of cases the femoral neck fractures occur in a fall from height in the elderly. Women are affected more often due to brittle bones (osteoporosis) that often occurs after menopause. The prevention of osteoporosis therefore reduces the risk of hip fracture by increasing bone density.
In 10% of cases, these fractures are the result of a violent impact (road accident) and affect younger patients (under 50).
Less commonly, these fractures are called "pathological", that is, they are the result of a weakening of the bones made brittle by underlying disease (tumor of the bone, prolonged treatment by high doses of steroids ...).
Symptoms and Diagnosis
The diagnosis of femoral neck fracture is generally not a particular problem: the result of a fall, the patient complains of severe pain in the groin. The functional disability is total, the leg is deformed, shortened, in an abnormal position (facing out). Hematoma in the groin occurs later.
The diagnosis is confirmed by a radiograph of the hip, which shows the fracture line. Depending on the position of the line on the neck, we define different types of fractures, the most common being the transcervical fracture in the middle of the neck, with a vertical line.
The displacement of bony against each other is important to assess for further care and surgery to be performed.
The doctor supports a victim of such a fracture will carefully evaluate his condition, which can be altered by this accident. It will specify the particular patient's mental state before the fall, and the quality of its course. Indeed, the goals of rehabilitation depend on the prior function ambulatory patient (she worked properly before? She suffering from arthritis, balance disorders?).
Treatment
Treatment of a femoral neck fracture is surgical and must be undertaken quickly. Its purpose is to avoid prolonged bed rest in the elderly and the complications inherent in an asset (pressure ulcers, phlebitis, pulmonary embolism, incontinence, mental degradation ...).
Rarely, a tension setting of the affected limb will wait for a better time for an intervention.
In the elderly, the most common intervention is the establishment of a total hip replacement (known as arthroplasty), allowing immediate resumption of support on the operated limb.
More rarely, and only in case of non-displaced fracture, internal fixation is practiced by placing a plate and screws to secure the fracture.
Physical therapy that follows the transaction obviously plays a role in the recovery of walking. Sunrise and the early support are in order in case of total hip replacement.
After fixation, the support on the operated limb will be allowed until the third month.
After a few weeks of hospitalization, the patient will regain its original place to live, continuing physical therapy, often daily, to maximize the recovery of a good traction.
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