Neck of femur fracture medical therapy: Difference between revisions

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Revision as of 17:13, 7 February 2019

Neck of femur fracture Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2]

Overview

The mainstay of treatment for neck of femur fracture is surgery. Non-operative management is reserved for a very small proportion of patients.

Medical Therapy

The mainstay of treatment for neck of femur fracture is surgery. Non-operative management is reserved for a very small proportion of patients.[1][2][3][4][5]

Non-operative Treatment

Indications

  • Non-ambulators
  • Patients with minimal pain
  • Patients who are at high risk for surgical intervention

Techniques

  • Derotational cast
  • Traction

Complications

  • Osteonecrosis
  • Non union
  • Complications Of Prolonged Recumbency such as:
    • Hypostatic pneumonia
    • Pressure sores
    • Deep venous thrombosis
    • Pulmonary embolism
    • Cardiac failure due to weakening of the cardiac muscle and poor venous return
    • Muscle wasting
    • Common peroneal nerve palsy
    • Stiffening of joints
    • Osteoporosis
    • Urinary tract infections
    • Depression

References

  1. Faraj AA (2008). "Non-operative treatment of elderly patients with femoral neck fracture". Acta Orthop Belg. 74 (5): 627–9. PMID 19058696.
  2. Moulton LS, Green NL, Sudahar T, Makwana NK, Whittaker JP (2015). "Outcome after conservatively managed intracapsular fractures of the femoral neck". Ann R Coll Surg Engl. 97 (4): 279–82. doi:10.1308/003588415X14181254788809. PMC 4473865. PMID 26263935.
  3. Handoll HH, Parker MJ (2008). "Conservative versus operative treatment for hip fractures in adults". Cochrane Database Syst Rev (3): CD000337. doi:10.1002/14651858.CD000337.pub2. PMID 18646065.
  4. Rockwood, Charles (2010). Rockwood and Green's fractures in adults. Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 9781605476773.
  5. Azar, Frederick (2017). Campbell's operative orthopaedics. Philadelphia, PA: Elsevier. ISBN 9780323374620.

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