Proximal Femoral Fractures Pdf 11
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Proximal Femoral Fractures: Causes, Types and Treatment
Proximal femoral fractures are a common type of injury that affects the upper part of the thigh bone (femur). They occur near the hip joint and can involve the femoral head, neck, trochanter or shaft. Proximal femoral fractures can cause severe pain, disability and complications such as infection, blood clots and death.
The main cause of proximal femoral fractures is trauma, such as falls, car accidents or sports injuries. The risk of fracture increases with age, osteoporosis, low body weight, smoking, alcohol use and certain medications. Proximal femoral fractures are more common in women than men, and in people of Caucasian or Asian descent.
The diagnosis of proximal femoral fractures is based on clinical examination, medical history and imaging tests such as X-rays, CT scans or MRI. The treatment of proximal femoral fractures depends on the type, location and severity of the fracture, as well as the patient's age, health and preferences. The main options are conservative management with pain relief and immobilization, or surgical fixation with screws, plates, nails or prosthetic implants.
The recovery from proximal femoral fractures can take several weeks to months and requires physical therapy, medication and lifestyle changes. The prognosis of proximal femoral fractures varies depending on the patient's condition and the quality of care. Some factors that can improve the outcome are early mobilization, adequate nutrition, infection prevention and bone health promotion.
Proximal femoral fractures are a serious health problem that can affect anyone at any age. They require prompt diagnosis and treatment to prevent complications and improve quality of life. For more information on proximal femoral fractures, please refer to the following sources:
Proximal Femur Fractures - Springer
Proximal femoral fractures Radiology Reference Article - Radiopaedia
Proximal Femoral Fractures: Prevention and Complications
Proximal femoral fractures can have serious consequences for the patients' health and quality of life. Therefore, it is important to prevent these fractures by identifying and modifying the risk factors. Some of the risk factors are modifiable, such as osteoporosis, smoking, alcohol use, medication use, nutrition and physical activity. Others are non-modifiable, such as age, sex, race and genetics. The prevention strategies include screening for osteoporosis and treating it with medication, supplements and lifestyle changes; avoiding falls and trauma by improving home safety, using assistive devices and wearing protective gear; and educating patients and caregivers about the signs and symptoms of fractures and the need for urgent medical attention.
Despite the best efforts to prevent proximal femoral fractures, some of them may still occur and require appropriate management. However, even with optimal treatment, some complications may arise that can affect the patients' recovery and outcome. Some of the common complications are infection, bleeding, nerve injury, vascular injury, malunion, nonunion, implant failure, avascular necrosis (AVN), heterotopic ossification and post-traumatic arthritis. The complications can be minimized by following the surgical principles of fracture reduction, fixation and rehabilitation; using prophylactic antibiotics, anticoagulants and analgesics; monitoring for signs of infection, hematoma, ischemia and neurologic deficit; performing regular radiographic follow-up; and managing any complications promptly and appropriately.
Proximal femoral fractures are a major challenge for the health care system and the society. They require a multidisciplinary approach that involves orthopedic surgeons, geriatricians, radiologists, anesthesiologists, nurses, physiotherapists and social workers. The goal of the management is to restore the patients' function and independence as much as possible and to prevent further fractures and complications. For more information on proximal femoral fractures prevention and complications please refer to the following sources:
Proximal Femoral Fractures: What the Orthopedic Surgeon Wants to Know RadioGraphics
Management of proximal femur fractures in the elderly: current concepts and treatment options European Journal of Medical Research
Epidemiology of proximal femoral fractures - PubMed ec8f644aee