La Revue du praticien · 2019
[Femoral neck fracture].
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Bastard Claire
Аннотация
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.