What is the best treatment for femoral neck fracture?

summary

Femoral neck fractures are more common in our lives, and are often found in the elderly. With the prolongation of life span, the incidence rate of them is increasing. Especially with the aging of population, it has become a serious social problem. There are mainly two basic factors causing femoral neck fracture in the elderly, osteoporosis, bone strength decline, in addition, because of the degeneration of hip muscle group in the elderly, so what should we do when femoral neck fracture occurs? Conservative treatment or surgical treatment is mainly based on the patient's condition, age and surgical tolerance. Now let me share the treatment of femoral neck fracture.

What is the best treatment for femoral neck fracture?

First: manual closed reduction and internal fixation: use with the elderly, can not resist the risk of surgery. As long as there is satisfactory reduction, at present, hospitals with conditions adopt closed reduction and internal fixation under TV C-arm fluoroscopy. This method may lead to necrosis of the femoral head, mainly due to reasonable fixation with multiple nails and early rehabilitation.

Second: external fixation: it is suitable for abduction and intermediate fractures. Generally, traction or anti foot external rotation shoes are used for 8-12 weeks to prevent external rotation and adduction of the affected limb. It takes about 3-4 months to heal. Nonunion or necrosis of the femoral head rarely occurs. However, the fracture may be dislocated in the early stage, so it is suggested that internal fixation should be used. It can also be fixed with external fixator under C-arm fluoroscopy.

Third: hip replacement with artificial prosthesis. Artificial joint replacement is only suitable for those over 65 years old with garden type Ⅲ and Ⅳ fractures who can tolerate anesthesia and trauma. Hip arthroplasty has been common, has been fully affirmed and has developed into a reliable treatment.

matters needing attention

After the operation of femoral neck fracture, the functional exercise should be mainly automatic, supplemented by passive, gradually increased from small to large, from less to more, and appropriate sitting, standing and lying position exercise methods should be selected. But before fracture healing, avoid weight-bearing and take X-ray every month to observe fracture healing.