$orif femoral neck fracture$

$orif femoral neck fracture$

Orif Femoral Neck Fracture: Causes, Symptoms, Treatment, and Prevention

Insufficiency fractures caused by compromised bone strength can occur without trauma in postmenopausal women, while femoral neck stress fractures typically affect dancers, endurance athletes, and military service members between the ages of 20 to 30 due to training overload. Two less common types of hip fractures are insufficiency fractures and femoral neck stress fractures.

Prevention is crucial for subsequent care, which includes increasing physical activity, conducting home safety assessments, and minimizing polypharmacy. Early postoperative mobilization followed by rehabilitation can significantly improve outcomes. Physicians should be vigilant in monitoring patients for delirium, a common postoperative complication, and recommend medications for venous thromboembolism prophylaxis. Pre- and postoperative antistaphylococcal antibiotics are also necessary to prevent joint infection.

In some cases, nonsurgical management may be considered for patients who are not good surgical candidates. Fractures are usually managed through surgery, with the approach dependent on fracture type and location. Both spinal and general anesthesia can be used, and operative management within 24 to 48 hours of the fracture is ideal for optimizing outcomes.

Diagnosis typically involves plain radiography; however, magnetic resonance imaging should be obtained if suspicion of fracture persists despite normal radiography. Hip fractures often present with anterior groin pain, inability to bear weight, or a shortened, abducted, and externally rotated limb.

$orif femoral neck fracture$

Modifiable risk factors include low body mass index, osteoporosis, increased fall risk, medications that increase fall risk or decrease bone mineral density, and substance use. Nonmodifiable risk factors include lower socioeconomic status, older age, female sex, prior fracture, metabolic bone disease, and bony malignancy. Hip fractures are significant causes of disability, with mortality rates reaching 30% at one year.

It is essential to address these risk factors and take steps towards prevention, as hip fractures can have a profound impact on quality of life and increase the risk of mortality. By understanding the causes, symptoms, treatment options, and prevention strategies for orif femoral neck fracture, individuals can take proactive measures to reduce their risk of developing this condition.

$orif femoral neck fracture$

Orif femoral neck fracture