Fractures of the neck of the femur
A simple x-ray (AP and lateral views) of the hip can make the diagnosis and determine the most suitable surgical treatment
Ideally, surgical treatment (osteosynthesis) should be performed within 24 hours. The choice of technique depends on several parameters: the type of fracture (intra or extra articular), the degree of a displacement, the patient’s age (in young patients, preservation of the femoral head is preferred), general condition, the degree of existing osteoporosis, and the patient’s level of activity.
Surgical options :
• Hip prosthesis consists of replacing the head of the femur, also called a hemi-prosthesis.
Neck of femur fracture treated by hemi-arthroplasty
When the socket of the hip joint (acetabulum) is in poor condition, the surgeon may have to replace it with a synthetic cup, also called total hip prosthesis. The prosthesis allows early weight bearing and faster recovery. It is particularly indicated in elderly patients when adequate repair of the fracture is not possible.
• Osteosynthesis (placement of screws, nail or plate) is preferred in younger patients or in elderly when possible.
Neck of femur fracture treated by osteosynthesis
Regardless of the treatment option decided upon, rehabilitation must be started as soon as possible.