Fractures of the neck of the thigh: their diagnosis and treatment

Fractures of the neck of the hip are justly considered to be one of the most dangerous injuries that a person can get. They fuse very hard, and independently - almost never. The reason for this is the absence of the periosteum, which ensures the fusion of damaged bones. About 90% of these fractures occur in people who have already reached retirement age. Almost a third of them - 30% - die within the first year after receiving an injury as a result of complications caused by a sedentary lifestyle of the patient. However, everything in order.

Fracture of the femoral neck: symptoms

1) Pain is the first and most important symptom of this type of injury. Concentrating in the inguinal region, when moving, it only intensifies. Most often, a person who has received such a fracture is confined to bed because of severe pain. However, there are cases when the pain did not cause serious discomfort for the victim for several days or even weeks. Such fractures are fraught with transformation from closed damage to the open, it is also possible to traumatize the vessels and tissues surrounding the broken bone.
2) Outer rotation is the position of the foot when it is slightly turned outward.
3) Shortening of the limb by 2-4 centimeters as a result of contraction of the gluteus muscles, pulling the leg close to the pelvis.
4) Limited movement of the leg up and down.

Fractures of the neck of the thigh: treatment

As has already been described above, hip fractures are very rarely coalesced, which means that they almost always require surgical intervention and subsequent rehabilitation. Patients with extra-capsular injuries are usually prescribed osteosynthesis. This is an operation to fix a broken bone with a metal pin.

Intracapsular fractures require prosthetics - replacement of the hip joint. Patients who underwent such a fracture of the neck of the hip, even though walking with crutches, can walk a couple of days after radical intervention.

Regardless of what kind of surgery was performed, the patient will soon be given special physiotherapy and physical therapy specially selected for him, which is designed to help him restore the functions of the injured limb as soon as possible.

However, not always the general condition of the patient allows doctors to carry out radical treatment. Then the patient is assigned immobilization of the limb or skeletal traction of the injured leg. Such patients need special care, since their condition is fraught with a number of complications. However, they usually arise only in those patients who for one reason or another do not get out of bed. While even the most complex fractures require at least minimal physical exertion, again determined by the physiotherapist and the attending physician.

Fractures of the neck of the thigh: complications

Here is just a short list of problems that can arise in a patient with a fracture of the neck of the hip, which is chained to the bed:
• pressure sores;
Atony of the intestine;
• congestive pneumonia;
• rotation of the foot;
• problems of a psychological nature.