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Archive » 2013 » 1 » | Archive » Medical field » Fields » Orthopaedics » Archive » Medical field » Fields » Surgery »

Femoral Neck Fractures – Recognition and Treatment

 
Abstract:

This post is also available in: enEnglish slSlovenščina (Slovenian)

Femoral neck fractures are common fractures, appearing on a larger scale in older patients with osteoporosis, accompanying falls from standing heights. Clinical appearance can be typical: pain and a lower limb in external rotation with shorter length (with dislocated fractures). It is important to mobilise the patient as soon as possible, thus avoiding complications due to a longer period of bed rest. Treatment is conservative or operative. The choice of treatment is dependent mainly on the type of fracture and the patient’s age. There is an increase of artificial hip endoprosthesis noticed in treatment of biomechanically unstable fractures, as well as in failed treatment with ostheosynthesis. Hence, new materials and new surgical approaches are being developed. Partial cemented hip endoprosthesis is used most commonly in elderly patients, being inserted through lateral, anterolateral, posterior or anterior approaches. An important factor needs to be considered in the patient’s treatment plan – postoperative rehabilitation, which has to be individually set, regarding the fracture and the patient as a whole. In this article we describe the types of fractures, their clinical appearance, the diagnostic measures and appropriate treatments. Our article focuses on the types of ostheosynthesis and endoprosthesis procedures. We acknowledge tor in achieving a good result.

Authors:
Ambrožič Miha, Veselko Matjaž, Smrke Dragica Maja

Keywords:
fracture, femoral neck, fracture diagnosis, type of fracture, surgical approaches, rehabilitation

Cite as:
Med Razgl. 2013; 52: 93–104
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