What are the complications of post hip fracture surgery?
Cognitive and neurological alterations, cardiopulmonary affections (alone or combined), venous thromboembolism, gastrointestinal tract bleeding, urinary tract complications, perioperative anemia, electrolytic and metabolic disorders, and pressure scars are the most important medical complications after hip surgery in …
What are the clinical manifestations femoral neck fracture?
The symptoms of a femoral neck fracture include: Radiating pain to the knee. Inability to bear weight. Shortening or sideways rotation of the affected leg.
What happens in femoral neck fracture?
A femoral neck fracture can tear the blood vessels and cut off the blood supply to the femoral head. If the blood supply to the femoral head is lost, the bone tissue will die (a process called avascular necrosis), leading to the eventual collapse of the bone.
How do you assess a femoral neck fracture?
The most common physical feature of stress fractures in general is local bony tenderness; however, the neck of the femur is relatively deep and bony pain or tenderness may be absent. Palpate the trochanter for any tenderness that might indicate trochanteric bursitis.
What are the symptoms of a femoral neck fracture?
Patients with femoral neck fractures usually present with a history of gradual insidious pain in the hip, groin, or knee, which worsens with exercise and activity. However, the pain is relieved with rest.
What is the prognosis for a femoral shaft fracture?
Associated injuries femoral shaft fractures 6-9% associated with femoral neck fractures. treat femoral neck first followed by shaft. Prognosis mortality ~25-30% at one year (higher than vertebral compression fractures) predictors of mortality pre-injury mobility is the most significant determinant for post-operative survival.
What causes an intracapsular femoral neck fracture?
Etiology. Femoral neck fractures rarely occur in adults younger than 50 years of age; however, they may result from a high-energy trauma such as a fall from height or a motor vehicle accident [5] [6]. Elderly people show a higher risk of developing intracapsular femoral neck fractures from simple falls [7] [8].
What is the normal anteversion of the femoral head?
normal anteversion 10 +/- 7 degrees. Blood supply to femoral head major contributor is medial femoral circumflex (lateral epiphyseal artery) some contribution to anterior and inferior head from lateral femoral circumflex. some contribution from inferior gluteal artery.