[Femoral neck fracture]
- PMID: 32237589
[Femoral neck fracture]
Abstract
FEMORAL NECK FRACTURE. Femoral neck fractures represent the third most common type of fracture in traumatology. The diagnosis is based on the clinic and radiographs of the pelvis and the hip. The choice of treatment depends on the type of fracture (with displacement in coxa vara, coxa valga, or without displacement), the age of the patient, his autonomy and his co-morbidities. In elderly patients with a displaced fracture in coxa vara, arthroplasty will be preferred, whereas for non-displaced or coxa-valga fractures, as well as in younger patients, osteosynthesis will be performed. The expertise of the surgical management of these fractures is fundamental for the elderly, as well as the multidisciplinary management involving geriatricians. For the elderly person, the goal of the treatment is to get walk and autonomy as quickly as possible while minimizing complications and medical decompensation.
FRACTURE DU COL DU FÉMUR. Les fractures de l’extrémité supérieure du fémur représentent le troisième type de fracture le plus fréquent en traumatologie. Le diagnostic repose sur la clinique et des radiographies du bassin et de la hanche. Le choix du traitement chirurgical dépend du type de fracture (avec déplacement en coxa vara, coxa valga, ou sans déplacement), de l’âge du patient, de son autonomie et de ses comorbidités. Chez des patients âgés avec une fracture déplacée en coxa vara, on privilégie l’arthroplastie, tandis que pour les fractures non déplacées ou en coxa valga, ainsi que chez les patients jeunes, une ostéosynthèse est réalisée. L’expertise de la prise en charge chirurgicale de ces fractures est fondamentale pour la personne âgée, au même titre que la prise en charge multidisciplinaire associant les gériatres. Pour la personne âgée, l’objectif du traitement est d’obtenir une déambulation et une autonomie le plus rapidement possible, tout en diminuant au maximum les complications et les décompensations médicales.
Keywords: hip prosthesis.
Conflict of interest statement
C. Bastard déclare n’avoir aucun lien d’intérêts.
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