Fracture of the femoral neck in old age is a verdict?
Older people are more likely than othersinjuries. This is primarily associated with a decrease in the strength of bone tissue due to age-related changes occurring in the skeleton. The most common and at the same time the most insidious trauma is a fracture of the femoral neck in the elderly of people. It not only requires complex treatment and long-term rehabilitation, but also delivers severe suffering to patients. Fracture can be accompanied by a variety of complications, which leads to poor fusion of bones. In addition, against the background of a fracture may aggravate various diseases. All this often leads to the fact that the patient is bedridden, frail and in need of round-the-clock care. Sometimes fracture of the femoral neck in old age leads to death. Types of fractures:
- median (also called medial), when the integrity of the bone is broken above the place where the joint capsule is attached to the thigh;
- lateral (or lateral), when the integrity of the bone is broken below the place where the joint is attached to the thigh.
All lateral fractures are extraarticular, and middle - intraarticular fractures.
Fracture of the femoral neck in old age: the main symptoms
Immediately after traumathe affected person begins to have pain in the groin area, at the moment of movement they become worse. The limb, which is damaged, somewhat turns outward, which can be seen by looking at the foot. Even though there is a fracture, a person can walk, unbend and flex his leg. The only thing that he can not do is keep his leg in a straight position. In addition, the injured limb becomes somewhat shorter, since with this type of damage, the muscles begin to contract in a different way. Another sign of the presence of a fracture is that if the victim gently knock on the heel of the injured leg, the pain will intensify.
Fracture of the femoral neck in old age: first aid
Of course, the treatment of such trauma requireshospitalization. Before the ambulance arrives, the victim can be helped by shifting it to a flat surface and fixing the limb with a tire in such a way that both the knee and hip joints are simultaneously captured. You can not try to give the shifted leg a normal position.
Fracture of the femoral neck in old age: ways of treatment
Due to the age of the patient, treatment is oftenis difficult. This is due to the long splicing of bones (from 6 to 8 months), the inadmissibility for a long time to adhere to bed rest. The most optimal way to cure a fracture of the femoral neck is surgery. In this case, surgical intervention may consist of osteosynthesis or endoprosthetics. In the first case, bone fragments are fixed with metal screws, thus helping them to fuse favorably. Unfortunately, people older than 60 years of age often do not fit this method, in this case, replace the joint - endoprosthetics. It also happens that both types of surgical intervention pose a threat to the patient's life. Then the therapy is performed non-surgically and is directed at matching the fragments of the bone without disrupting the integrity of the skin and exercising exercise therapy.