FEMORAL NECK FRACTURE
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 density, predisposing to fracture. Elderly osteoporotic women are at greatest risk.
It is anticipated that the total number of hip fractures will exceed 6 million people in 2014. In patients aged between 65 and 99, femoral neck and intertrochanteric fractures occur with approximately similar frequency.
- Falls in the elderly
- Significant trauma (e.g. motor vehicle collisions) in younger patients
- Stress fractures (less common)
TREATMENT AND PROGNOSIS
The treatment options include non-operative management, internal fixation or prosthetic replacement.
The high morbidity and mortality associated with hip and pelvic fractures after trauma has been well documented. Prognosis is varied, but is complicated by advanced age, as hip fractures increase the risk of death and major morbidity in the elderly.
FEMUR SHAFT FRACTURES (BROKEN THIGHBONE)
Your thighbone (femur) is the longest and strongest bone in your body. Because the femur is so strong, it usually takes a lot of force to break it. Car crashes, for example, are the number one cause of femur fractures.
The long, straight part of the femur is called the femoral shaft. When there is a break anywhere along this length of bone, it is called a femoral shaft fracture.
Femoral shaft fractures in young people are frequently due to some type of high-energy collision. The most common cause of femoral shaft fracture is a motor vehicle or motorcycle crash. Being hit by a car as a pedestrian is another common cause, as are falls from heights and gunshot wounds.
A lower-force incident, such as a fall from standing, may cause a femoral shaft fracture in an older individual.
A femoral shaft fracture usually causes immediate, severe pain. You will not be able to put weight on the injured leg, and it may look deformed — shorter than the other leg and no longer straight.
Most femoral shaft fractures take 4 to 6 months to completely heal. Some take even longer, especially if the fracture was open or broken into several pieces.
Because you will most likely lose muscle strength in the injured area, exercises during the healing process are important. Physical therapy will help to restore you normal muscle strength, joint motion, and flexibility.
A physical therapist will most likely begin teaching you specific exercises while you are still in the hospital. The therapist will also help you learn how to use crutches or a walker.
This fracture occurs at the level of the “neck” of the bone and may have loss of blood supply to the bone.
This fracture occurs between the neck of the femur and a lower bony prominence called the lesser trochanter. The lesser trochanter is an attachment point for one of the major muscles of the hip.
This occurs even further down the bone and may be broken into several pieces.
In more complicated cases, the amount of breakage of the bone can involve more than one of these zones. This is taken into consideration when surgical repair is considered