Neck of femur fracture medical therapy

The mainstay of treatment for neck of femur fracture is surgery. Non-operative management is reserved for a very small proportion of patients.

The mainstay of treatment for neck of femur fracture is surgery. Non-operative management is reserved for a very small proportion of patients.^{[1][2][3][4][5]}

Indications

• Non-ambulators
• Patients with minimal pain
• Patients who are at high risk for surgical intervention

Techniques

• Derotational cast
• Traction

• Osteonecrosis
• Non union
• Complications Of Prolonged Recumbency such as:
  • Hypostatic pneumonia
  • Pressure sores
  • Deep venous thrombosis
  • Pulmonary embolism
  • Cardiac failure due to weakening of the cardiac muscle and poor venous return
  • Muscle wasting
  • Common peroneal nerve palsy
  • Stiffening of joints
  • Osteoporosis
  • Urinary tract infections
  • Depression

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