With the change of China's population ratio, now gradually entering the aging stage, and this stage is intensifying, it is expected that by 2050 the total number of elderly people in China will reach 300 million, will exceed about 30% of the total population.
Femoral neck fractures are more common and prone fractures in older people. One of the main causes is fractures caused by senile osteoporosis. According to incomplete statistics, about 60% of the elderly in the country suffer from osteoporosis of different degrees.
This is an elderly male patient, 74 years old, 3 days ago due to walking slipping and falling caused by the left hip landing, immediately felt left hip pain, hip movement is limited, the lower limb is shorter than the healthy side of the short about 2cm, emergency shooting of left hip joint ortholateral film: left femur neck fracture (subhead), see the following figure. Admitted to the hospital for treatment. He was in good health and had no other obvious chronic diseases. There is no history of hypertension, diabetes mellitus and cerebral infarction, and no bad habits such as tobacco and alcohol. Relevant tests were improved, blood tests were drawn, and no obvious abnormalities were seen on electrocardiogram and lung CT.
According to the examination and evaluation at the time of admission, the patient was diagnosed with a femoral neck fracture (subhead type) upon admission, and the diagnosis and treatment plan was to actively give the affected limb immobilization, open the intravenous channel to give active rehydration, and at the same time, ecG monitoring oxygen inhalation and other treatments.
Formulation of treatment plans
According to the patient's general condition (usually more activity, physical fitness can be), and the fracture itself is a stable fracture, and finally after communicating with the family and the patient to choose hip protection, the surgical plan is the FNS femoral neck dynamic cross nail system. The following is a positive C-line lateral film taken by the C-arm machine of the patient during the operation. as follows
It can be seen from the intraoperative film that the fracture has completely reached anatomical reduction, the entire operation time is 40min, the intraoperative bleeding volume is about 50ml, and the pain of the affected limb is significantly alleviated on the first day after the operation, and the patient and his family are very satisfied. Of course, it still depends on the results of the follow-up in the later stage. In this case, the main attention is that the recent complications are incision infection, pressure ulcers, fat embolism, etc., and the main prevention of long-term complications are: ischemic necrosis of the femoral head, traumatic arthritis, joint stiffness, etc. @Headlines Debunking @Life Summoning Order@Toutiao Health #Orthopedics #Health Star Program ##2021加油带头人 #