Fracture neck of femur occurs in elderly patients. Osteoporosis is the main cause of fracture neck of femur.
Domestic or outdoor falls, accidents are common causes.
The patient is unable to stand up and mobilize. There is pain over the hip. Hip movements are very painful. If untreated, bedsores can develop rapidly.
Fracture neck of femur is an emergency. It requires urgent hospital admission. The medical condition of the patient has to be evaluated and surgery is to be performed within twenty four hours. Morbidity and mortality increase after this.
If the fracture is undisplaced, In-situ pinning is the treatment of choice. Displaced fractures in young and middle aged patients are best treated by closed reduction and internal fixation. Perfect reduction, correct implant choice and bone quality will measure the degree of success.
For displaced fractures in the elderly the conventional treatment is bipolar hemi-arthroplasty. When bone stock is adequate, an uncemented bipolar hemi-arthroplasty is preferred. When bone is osteopenic, then a cemented bipolar arthroplasty is done. A total hip arthroplasty is recommended if there is pre existing osteo-arthritis.
This is a bipolar hemi-arthroplasty of the hip.