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Hip fracture: Difference between revisions
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(Created page with "<section begin="traumatology" />'''Hip fractures''' are those which involve the proximal femur, including femoral head fractures, femoral neck fractures, trochanteric fractures, and subtrochanteric fractures. Hip fractures are one of the most common fractures of the elderly, and a common cause of admission to the hospital. They’re also severe and can cause severe morbidity and mortality. Hip fractures affect 169 / 100 000 each year, and females more often than males....") |
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Hip fractures affect 169 / 100 000 each year, and females more often than males. It almost exclusively affects elderly. 30-day mortality is 9% and increases with time since the injury. Many of the patients require long-term nursery care or at least help with everyday activities after a hip fracture. | Hip fractures affect 169 / 100 000 each year, and females more often than males. It almost exclusively affects elderly. 30-day mortality is 9% and increases with time since the injury. Many of the patients require long-term nursery care or at least help with everyday activities after a hip fracture. | ||
Femoral head and neck fractures are intracapsular, while trochanteric and subtrochanteric fractures are extracapsular. Femoral neck fractures are sometimes abbreviated as FCF (fractura colli femoris). Fracture of the femoral neck is the most common hip fracture. Femoral head fractures are uncommon.<section end="traumatology" /> | Femoral head and neck fractures are intracapsular, while trochanteric and subtrochanteric fractures are extracapsular. Femoral neck fractures are sometimes abbreviated as FCF (fractura colli femoris). Fracture of the femoral neck is the most common hip fracture. Femoral head fractures are uncommon. | ||
They’re classified according to the Garden classification. Patient presents with pain in the groin or hip and immobilisation of the affected leg, as well as features of hip dislocation (but no haematoma). Garden I – II are treated with ORIF, Garden III – IV with hip replacement. Osteonecrosis is a relatively common complication.<section end="traumatology" /> | |||
''See also [[trochanteric fracture]].'' | ''See also [[trochanteric fracture]].'' | ||