Bilateral spontaneous femoral neck fracture abstract introduction. Femoral neck fractures have a bimodal distribution. Any elderly person who complains of hip pain or goes off legs, even without a history of a fall, should also have an xray of the hip. The patient denied any possible trauma resulting in the femoral neck, the fracture was treated with tha. Fnof is primarily an injury of older people but may also occur in younger people with a history of violent trauma. It is likely to be life changing and for some people life threatening. Background 65,000 patients a year suffer a fractured neck of femur, the majority presenting via the ed. The incidence of osteonecrosis in ipsilateral femoral neck and shaft fractures is also less than that of isolated neck of femur fractures, 34% as compared 1035% 5,9. It occurs when the top part of the femur leg bone is broken, just below the ball and socket joint. Pdf nonoperative treatment of elderly patients with.
Fractured neck of femur clinical audit 201718 national report page 7 introduction this report shows the results of an audit of adult patients who presented to eds with fractured neck of femur. Femoral neck fractures orthopaedic trauma association. A fractured neck of femur broken hip is a serious injury, especially in older people. The full text of this article is available in pdf format. When nonoperative treatment of femoral neck fracture is deemed necessary in elderly patients, an intensive medical input is necessary to alleviate pain and enable them to return their function. Femoral neck fractures and peritrochanteric fractures are equally prevalent and make up over 90 percent of proximal femur fractures. Factors influencing the outcome of osteosynthesis in the fracture of. In the well selected cases, osteosynthesis by means of screws in the femoral neck fractures is an option that allows the preservation of the femoral neck and the resumption of the hip functions 8. They are very common, with an incidence of 75,000 in the uk, set to rise to 100,000 by 2020. Between 65 and 80 years of age, a total hip replacement is probably the best option for fit patients. Sixteen elderly patients with displaced femoral neck. This may be representative of lower energy injury pattern and supportive of the above postulate.
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