280 likes | 572 Views
FRACTURE NECK OF FEMUR. Dr . Niyaz Mohammad. anatomy. Blood supply. Fracture neck of femur. Commonest site in elderly 6 th and 7 th decade Associated with osteoporosis Other factors – osteomalacia, stroke, diabetes, alcoholism, chronic disease Post menoapause. mechanism.
E N D
FRACTURE NECK OF FEMUR Dr. Niyaz Mohammad
Fracture neck of femur • Commonest site in elderly • 6th and 7th decade • Associated with osteoporosis • Other factors – osteomalacia, stroke, diabetes, alcoholism, chronic disease • Post menoapause
mechanism • Simple fall , twist/ external rotation of leg in elderly • In young individuals, fall from height
Clinical features • History of fall • Pain in the hip • Limb is shortened and in external rotation • In impacted fracture – patient may walk • In young patient- may be associated with multiple fracture
investigations • X-ray • CT scan – if associated with pelvic fracture
Diagnosis • Stress fracture • undisplaced fracture • painless fracture • Multiple fracture
Treatment options • Conservative • surgical
treatment • Young individuals :- surgical emergency • Operated within 12 hours
Internal fixation • Reduction and cancellous screw insertion
treatment • Elderly patients with displaced fracture
complications General :- • DVT • Pulmonary embolism • Pnemonia • Bed sores
complications • avascular necrosis • Non union • Osteo arthritis
Associated fractures • Associated with fracture shaft • 20%