Urgent, acute Femoral neck fracture, femoral neck fracture?

Your mother's current fracture does not require surgery**. Traditional Chinese medicine conservative** is more effective. Without misalignment, there is no need for traction.

Modern people are blindfolded by Western medicine, believing that Western medicine (surgery) can cure all diseases, but surgery is only a technique that can remove lumps and correct deformities, but a large amount of drugs are also required before, during and after surgery. As for fractures, it is only surgical internal fixation or joint replacement, but there is no particularly effective drug after surgery**, so patients with fractures after multiple postoperative operations cannot heal and recover as expected. You can see in 'Know' that many patients with fractures that do not heal for a few months after surgery have asked all kinds of questions from patients who do not recover well after surgery.

Traditional Chinese medicine is ancestral Chinese medicine, which has miraculous effects in the most fractured bones. Special effect of bone elder, blood circulation and blood stasis, swelling and pain relief, bone callus. **Fractures do not require special diet, heal quickly, and have no sequelae after healing.

Since there is no obvious displacement, it can be conservative and use traction, but the left femoral neck fracture will develop into femoral head necrosis.

Femoral neck fracture refers to the fracture of the femoral head down to the bottom of the femoral neck, mostly intracapsular fractures, which are more common in middle-aged and elderly people, most patients have osteoporosis, and slight violence such as falls and sprains can lead to femoral neck fractures. Prone to nonunion of fractures and necrosis of the femoral head.

Patients with fractures have cardiovascular disease, lung disease, diabetes, osteoporosis and malnutrition, which should be paid attention to. The femoral neck fracture in young and middle-aged patients is mostly caused by violence, mainly caused by high-energy trauma, the degree of blood supply damage is serious, and the incidence of avascular necrosis of the femoral head is also high, which has attracted attention.

Femoral neck fractures are the most common injury to the hip and are second only to distal flexure fractures in generalized fractures. This type of fracture is mostly caused by accidentally falling while walking, hitting the buttocks on the ground, and suffering from hip pain after the injury, unable to stand and walk. Femoral neck fractures in young people are often caused by intense violence such as car accidents or falls from heights.

Most femoral neck fractures have a more significant displacement than the fracture, and because of the greater leverage in this area, the fracture is unstable, so most require surgery**. After femoral neck fracture surgery, there are generally three hurdles: first, postoperative infection, which most patients can pass, generally about 10 days; Most of the patients are middle-aged and elderly, so it usually takes about 3 months to 1 year, and the older the age, the more difficult it is to heal, and the non-union rate can reach about 30%.

The first two levels are more important to both doctors and patients, while the third level is the necrosis of the femoral head, which is often overlooked. The common clinical situation is: the reduction, internal fixation and healing of the femoral neck fracture after surgery are very smooth, and the doctors and patients are very satisfied, so they do not protect and move at will, which eventually causes necrosis of the femoral head and leaves lifelong regrets.

The risk of femoral head necrosis in femoral neck fractures is about 20-40%, and the risk factors are as follows:

1. Fracture site: The closer the femoral neck fracture is to the femoral head, the higher the probability of nonunion and necrosis of the femoral head;

2. Age: Femoral neck fractures in middle-aged and elderly patients are prone to nonunion, while femoral neck fractures in young adults are prone to necrosis of the femoral head;

3. Weight-bearing: premature abandonment of abduction is a common cause of necrosis of the femoral head;

4. Degree of dislocation and reduction quality: the femoral neck fracture is mild dislocation, the femoral head necrosis rate is moderate dislocation, and the severe is 51%, the better the reduction quality, the lower the incidence of femoral head necrosis.

To prevent necrosis of the femoral head should be done:

1. Review the X-ray frequently, even if the fracture is healed, it should be followed for 3 to 5 years. Studies have shown that about 85% of femoral head bad examinations, large ** collection deaths occur within 3 years of fracture, and 98% occur within 5 years. For the evaluation of femoral neck fractures** and the efficacy, fracture healing should not only be observed, but should be followed up to 5 years after injury.

If there are "nail marks" on the X-ray film, the high decline of the femoral head and the hardening of the zona pellucida indicate that there is a precursor to necrosis of the femoral head, and active measures should be taken to prevent it from further premature development;

2. It is not advisable to load weight too early. From the perspective of fracture healing, femoral neck fracture can basically bear weight after 12 weeks, but because of the late occurrence of necrosis of the femoral head, weight bearing should be reduced until 1 year;

3. If early necrosis of the femoral head is found, measures such as taking drugs and appropriate surgery should be taken to reverse the lesion.

The subcephalic type of femoral neck fracture is indeed not easy to heal, it is the most difficult fracture to heal in the whole body, and it is prone to nonunion and avascular necrosis of the femoral head.

According to the X-ray, the fracture is well aligned, has basically healed, and can be partially weight-bearing. Abandonment after three months. It should be reviewed regularly within five years.

Dr. Mi Zhongxiang of Gansu Provincial Hospital of Traditional Chinese Medicine solemnly reminded that because the patient cannot be seen face-to-face and cannot fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

The blood of the femoral head is mainly completed through the femoral neck, that is to say, the femoral neck is a pipe that transports blood and nutrients to the femoral head, and the femoral head is thicker and requires a large amount of blood supply, while the femoral neck is relatively thin! Therefore, any change that reduces the delivery of blood from the femoral neck to the femoral head can easily cause avascular necrosis of the femoral head. Such as the use of a large number of hormones, affecting the hematopoietic function of the bone marrow, fracture of the femoral neck or femoral shaft, interruption of blood transport channels, lesions of the hip joint, compression of the blood delivery pathway, etc.!

When the bone cortex is discontinuous after the femoral neck fracture, the blood delivered to the femoral head will be reduced accordingly, and the thick femoral head is prone to avascular necrosis if it does not get enough blood**! Just like if a piece of bark is missing from the trunk of a tree, the branches and leaves on it are not fully nourished, and it is easy to wither.