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Fracture Neck Of Femur

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Fracture neck of femur is one of the most common injuries observed in the elderly leading to morbidity and mortality among them. With increased standards of health and the resulting longevity, this type of fracture is becoming increasingly common. The fracture can be a major cause of morbidity in the elderly as it leaves many patients immobile and confined to their bed. Rehabilitation in these patients can take months. Immobility makes them more prone to pressure sores (bed sores) and chest infections. The early mortality of this fracture is about 10%. If untreated, these fractures fare very poorly.

It is estimated that in the United States 320,000 people -- mostly elderly and women -- sustain this fracture that results in their hospitalization. These fractures mostly occur due to a low-energy fall. In one study from the UK it was noted that patients over age 82 (± 7 years) fared badly after this fracture and the mortality was estimated to be between 20 and 35% in one year. Majority of these patients (80%) were women.

The rounded head of the femoral bone and the hollow socket in the hip bone called the acetabulum works in a 'ball and socket' arranegement. In fracture of the neck of the femur, and the head and neck of the femur is often replaced by prosthesis and this is termed as Hemi-arthroplasty of the hip. When both head and the hollow socket (acetabulum) of the hip bone are replaced by prostheses it is called 'Total Hip Replacement.'


If the fracture is below the neck of femur (inter-trochanteric), a sliding compression screw maybe used to fix the fracture.

Fracture of the femur neck is also called "a fracture of necessity" among the orthopedic fraternity, in other words it is a kind of fracture that needs to be operated upon for optimal results.

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rajur
My dad is 81 years old and suffered fracture of femoral neck, operated and metal rod (all along the femur) and screws were used to stabilise and treatment. After 5 months there is no pain or discomfort. But what should be done so that he starts walking again. He is constantly cared by a nurse and legs receive daily massage and they seem to have improved along with strengthening excercises. But my dad is reluctant to try more efforts and try walking even with 'walker' support and us around him to help.
Does he need psychological analysis and help to overcome his reluctance?
rajur  Tuesday, June 18, 2013
chrissy73
i am 39 years old and i have a tumor in neck of femur, was told to be carefull as it could fracture but they are going to monitor every 6 months, i am in alot of pain n often wake crying cause of it what are my options?doctor said if they operate i may never walk again plz help cause i can not keep living on pain killers
chrissy73  Sunday, March 25, 2012
sravani
Hi am sravani studying 2nd mbbs.my dad was met with an accident 3months back.he had poliomyelitis.his neck of the femur was fractured after that he was operated but it was not success.dey kept screws over there but they came out.so he is again going for operation.so i request u 2 suggest for my dad's operation which could make him normal.thanking u.my mail id is srvanimbbs0518@gmail.com.
sravani  Monday, November 01, 2010
Bhavya
This article requires some more detailing.
The animated sketch showing the various sites of fracture is very helpful
Bhavya  Wednesday, August 25, 2010

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