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Upper lobe of thigh connecting to the spherical bowl of the hip joint. A femoral neck fracture Bone bullets occur. is fractured off. When this fracture Insufficient blood supply to the bone, which may lead to delayed or non-healing of the bone. the fracture Depending on the severity. Depending on the severity the fracture and age of the patient is treated. Healing proceeds differently if the bone bullet is in the wrong position. These will usually be fractures usually treated with an elective hip prosthesis operation due to a reduced blood supply.
Presentation of femoral fractures
The fracture Can be impacted / pulled or shifted fractures. fracture The fracture can be impacted, pulled or shifted. Drawing fracture – gro radial pain, medial pain in the hip and knee. For facets in motion fracture Pain throughout the leg.
Physical examination during stress fracture Tests for the presence of undisputed clinical lesions, include discomfort during powerful, passive leg movements. Excessive movement may cause muscle spasms. Percussion trochanter major pain.
For displaced fracture It is about leg movements in the direction of induced duction and external rotation.
What are the causes of femur fractures?
Most common causes. of femoral neck fracture It is when an old man falls and a bad case or injury suffered by the young.
When the old man falls, the mechanism can be either a direct effect on the thigh during the fall or a rotation in which the leg stays in the same position and the body rotates. The fractured Bones have inadequate elastic resistance. Older adults are at increased risk for osteoporosis and osteomalacia. Additionally, women are more susceptible to the disease because osteoporosis occurs more frequently and makes the bones weak and brittle.
When injuries occur in young people, axial loading manifests itself along the highest forces. The fracture of neck femor Caused by withdrawal of the leg or may cause hip fracture dislocation.
Complications
Enclosure can cause significant blood loss. fractures This may not be clear until hip edema is noticed.
Further complications that may occur are thrombosis of the underlying vein, pulmonary embolism, fat embolism, infection, angulation, nonunion, and shortening.
Treatment of Femur Fractures
Medications
Most important failures of medications in femoral neck fracture Treatment of troublesome pain. Acute pain experienced in fracture treated with acetaminophen or an NSAID. If these medications do not work and do not relieve the pain, additional medications may be needed. In these cases, opiates are given to provide relief when breakthrough pain occurs. During the acute phase, anesthetics often need to be placed.
Surgery
In the case of surgery, the age of the patient and the amount of transfer caused are the more relevant aspects. the fracture If the patient is younger than 60, an elective hip prosthesis is avoided whenever possible because the hip joint wears more intensively and faster in younger patients.
Hip
Pinning of the leg means that screws are placed along the the fractured bone. This procedure is performed when displacement is minimal and perfectly aligned. To prevent hip prostheses in young patients, it is performed even if the alignment is incorrect. The procedure is performed under spinal or joint anesthesia. At the hip a small crossing section is made and with the help of X-rays the surgeon places screws that stabilize the bone. Depending on the value of the tolerance, authority can be placed on the leg. Once the bone is healed, the pain disappears. If the bone does not grow or collapse due to the cost of the blood supply, a hip prosthesis may be needed.
Hip arthrodesis.
This term refers to a half hip prosthesis in which only the bone bullet is removed and replaced with an iron prosthesis. This is because of the high likelihood of deterioration occurring during repair. the fracture In particular, it is considered desirable to cover the dislocation. This surgery is performed still under spinal or joint anesthesia. Through an incision on the outside of the foot, the fractured portion of the femoral The head is removed. Rehabilitation of these patients begins very early and there is a start of absolute weight bearing on the implants.
Physical Therapy During Recovery
Physical therapy is considered part of the rehabilitation program and includes a variety of activities. They are listed below
Running:
Running is introduced slowly and distances are still gradually increasing. If pain occurs, pause for a few days. Depending on the symptoms, the number of kilometers increases gradually and progression takes place. Fixation:
This refers to the fixation of muscles – gluteus medius- along with muscles in other areas. This helps to improve and normalize walking. Sport-specific training then takes place. Aerobic Exercise:
It is very important to perform aerobic exercise during the rehabilitation program. Upper body exercises can be done due to non-existent habituation. Then swimming or running in deep water can be done.
