Treatment of hip fracture

A fracture of the femoral neck is one of the serious injuries that can not be treated conservatively. More often such a trauma occurs in elderly people due to osteoporosis, since the bones become very fragile at the same time. With young people this happens because of severe injuries, for example, when falling from a height.

Endoprosthetics of hip joints for any category of patients can be considered the best way out. With surgical treatment, the elderly have a chance to avoid long and painful, at the same time, futile expectations of natural bone fusion. And in young people, the risk is reduced that the bones will mend properly and from the development of necrosis.

Emergency Assistance

You should not attempt to return your foot to its natural position. It is necessary to lay the person on the back, and fix the leg with the tire at the location of the hip and knee joints. After this, call specialists and deliver the victim to the surgical department.

Methods of conservative treatment of

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If treatment is not started on time, this can lead to disability. Medical measures should be started immediately after the acquisition of an injury. The hip of the hip is so arranged that it can grow together independently, it is only possible in children. For the rest, surgical treatment is indicated.

To patients who are younger than 30 years of age, a conservative method can give good results.

The surgeon, to restore the original position, is bone fragments that have been damaged, without penetrating inside. More often apply the hood of the skeleton, but as an independent type of aid, this method is considered to be outdated.

Physiotherapy is prescribed at an early period of treatment, because physical activity is necessary in the first days. First you need to move around the bed - sit down, turn around, then walk with a prop. Bones coalesce after about six months. For the elderly, the conservative method is not indicated because it is associated with the risk of bedsore formation, and thromboembolism, pneumonia due to prolonged stay without movement can also develop.

In general, the conservative method in the treatment of fracture in the region of the femoral neck is used only if the operation is not possible and the risk of conducting is higher than other risks.

Operation in case of hip fracture

There are 2 types of operations that can help in this situation - osteosynthesis and arthroplasty of this joint.

If osteosynthesis is used, then bone fragments are fixed with metal screws. In this case, favorable conditions are created in which the initial state of the bones is restored, which should be consolidated after about 5 months. Of course, 100% guarantee that the bones will grow together after the operation, do not give. Therefore, this operation is not carried out by persons who are over 60.

Endoprosthetics

This method is more effective. Bones that have been damaged are replaced with a prosthesis. This method makes it possible to actively move the injured leg from 3 weeks, but if a special fixing cement for bones was applied, then the activity of the joint is possible already for 3 days.

Prosthesis is the only way for elderly patients who, due to a decrease in the body's defensive reserves, do not have the possibility of a prolonged recovery after getting injured.

The condition of the patient with a fracture, the presence of other chronic diseases, age, the difference in the nature of the injury - all this creates the conditions for applying one of the types of endoprosthetics.

  • For total arthroplasty, replace the head of the hip bone and the acetabular joint of the joint.
  • In single-pole endoprosthetics, the patient is replaced only by the joint head.

The cost of this operation depends on the type of prosthesis and the material from which it is made - alloys of metals, ceramics, polymers. The method of fastening, which can be cementless, cement, or hybrid, is also important. The price depends on the design of the prosthesis. The most modern option is the installation of a biopolar prosthesis, which is distinguished by its mobility.

Postoperative complications occur in cases of 5 to 15%.This is a fracture of the prosthesis, instability and discomfort from improper selection of the prosthesis, hematoma, infectious and inflammatory process, exacerbation of chronic diseases. In these cases, it can be noted that in 95% of all patients lost abilities are completely returned - they have the opportunity not only to walk, but even resume sports.