Treatment of femoral neck fractures in elderly patients
Journal Title: Postępy Nauk Medycznych - Year 2013, Vol 26, Issue 6
Abstract
Femoral neck fractures have always been a great challenge for an orthopedic surgeon, a personal problem for the patient and his family, furthermore they are associated with high financial and social costs. The frequency of this trauma is ca. 7% of all fractures and about 1/3 concerns elderly people, i.e. over 70 years of age. Nowadays femoral neck fractures in elderly patients should be treated operatively, if no general contraindication present. Throughout the years efforts have been made to save the natural hip joint, what could be achieved by closed reduction and internal fixation of the fracture. At present this method is being replaced by modern hip alloplasty, resulting in faster rehabilitation of the patients and their greater postoperative independence. The choice among unipolar, bipolar or total allopasty of the hip should be individualized for each patient based on the patient’s general condition and his ability to comply with the postoperative instructions (1).
Authors and Affiliations
Daniel Kowalski, Magdalena Pieniężna-Ćwirko, Mariusz Urban, Piotr Zakrzewski, Maciej Klich, Stanisław Pomianowski
Keywords
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