What is a transcervical femur fracture?
Femoral neck fractures are often described as subcapital, transcervical, or basicervical in location, and as either displaced or nondisplaced. These distinctions are important because the blood supply to the femoral head is at risk following fractures within the hip joint.
How do you manage the neck of the femur fracture?
Treatment of femoral neck fractures usually involves surgery, medication, and rehabilitation. Pain medication provides short-term relief from pain. This may include over-the-counter (OTC) pain medication, such as nonsteroidal anti-inflammatory drugs (NSAIDs), or prescription drugs, such as opioids.
What are the two major operative options for intracapsular hip fracture?
For intracapsular fractures that are treated surgically, two types of operative strategy are commonly employed: joint preserving surgery (where the fracture is fixed with various types of internal fixation), or prosthetic replacement with any one of a number of arthroplasty options.
Can hip fractures be treated without surgery?
Most hip fractures require surgery, usually within one to two days of injury. Rarely, hip fractures may be treated without surgery, typically in patients who may be too sick or in a small group of patients that have healing, non-displaced fractures that were diagnosed weeks after injury.
How do you immobilize a hip fracture?
Immobilize Leg Secure leg with stiff padding, such as wadded-up blankets or towels, held in place with heavy objects. Padding should extend above the hip and below the knee.
What is the surgical management of fracture?
The three main treatment options for bone fractures are: Casting. Open reduction, and internal fixation- this involves a surgery to repair the fracture-frequently, metal rods, screws or plates are used to repair the bone, and remain in place, under the skin, after the surgery.
What kind of surgery do they do for a fractured hip?
A hip fracture can be repaired with the help of metal screws, plates and rods. In some cases, artificial replacements (prostheses) of parts of the hip joint may be necessary.
What is an intracapsular fracture of the femur?
Fractures within the joint capsule (intracapsular) provide a specific surgical challenge due to the difficulty in predicting rates of bony union and whether the blood supply to the femoral head has been disrupted in a way that would lead to avascular necrosis.
What are the types of transcervical fractures?
It comprises basicervical fractures, simple and multifragmentary transcervical fractures with a varus displacement, resulting from adduction injuries, and transcervical fractures caused by a vertical shear. These are extraarticular but intracapsular fractures.
What are the traditional fixation factors for intracapsular fractures?
Traditional fixation factors such as screw position and number do not seem to significantly affect the outcome with the quality of reduction being most important. Thus, the majority of patients under the age of 70 with displaced intracapsular fracture should be considered for internal fixation.
Are intracapsular hip fractures heterogeneous?
Intracapsular hip fractures are heterogeneous both in terms of fracture characteristics and patients they occur in. Using the described algorithm enables an evidence-based approach, addressing the numerous factors that need consideration for optimum management. Author Contributions