Postoperative precautions for femoral neck, what to pay attention to after femoral neck fracture sur

To prevent necrosis of the femoral head should be done:

1. Review the X-ray film frequently, even if the fracture heals, it should be followed for 3-5 years. Studies have shown that about 85% of femoral head necrosis occurs within 3 years of fracture and 98% occurs 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 X-ray films, the high decline of the femoral head and the hardening zona pellucida indicate that there is a precursor to necrosis of the femoral head, and active measures should be taken to prevent its further development;

2. It is not advisable to load weight too early. From the perspective of fracture healing, the femoral neck fracture can basically bear weight after 12 weeks, but because the necrosis of the femoral head occurs late, the reduction of weight bearing should be insisted on until the 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.

Hello, femoral neck fractures often occur in the elderly, with the extension of people's life expectancy, its incidence is increasing day by day, especially with the aging of the population, has become a serious social problem. There are two main problems in clinical practice: fracture nonunion and avascular necrosis of the femoral head. So far, there are still many unresolved problems in many aspects such as the fracture of the femoral neck and its results.

Do not stay in bed for a long time, but the affected limb should not bear weight for 3 months, which means that the affected limb should not touch the ground. Encourage more rolling, preferably lying flat, on the side of the healthy side (good leg). You can also stand with good legs, taking care that the affected limb does not touch the ground.

Weight loss of the affected limb is the principle). There is no problem with bending the knee when moving the leg or foot (weight bearing of the affected limb is the principle). The back can be moved.

The main sequelae of femoral neck bone is the possibility of necrosis of the femoral head, and if there is no necrotic flower, there is no problem with walking. Don't worry too much.

Pay attention to the review, do not overexert and bear weight.

pay attention to the reexamination. do not overwork and bear weight

Femoral neck fractures, especially subcephalic and medium-sized neck fractures, are easy to damage arteries, cause blood barriers, fractures are not easy to heal, and even avascular necrosis of the femoral head occurs. At the same time, after the fracture of the femoral neck, the fracture deformity is often caused by misalignment, so surgery is generally required to deal with the injured blood vessels, replace the femoral head or make internal fixation.

Postoperatively, functional traction should be performed for 2 to 3 weeks to avoid pain and loosening of internal fixation due to muscle spasm and joint movement, and to prevent dislocation of the artificial femoral head. Most of the patients are elderly, and they are prone to bedsores, lung infections, urinary retention or urinary tract infections if they are bedridden for a long time. Patients with hypertensive arteriosclerosis should also be alert to the occurrence of myocardial infarction or cerebrovascular accident.

Femoral neck fracture.

The best way is Qi Ming's method of performing femoral neck fracture surgery**, but there are also three points to pay attention to after surgery, and the following will tell you what three points need to be paid attention to. 1. After the operation of femoral neck fracture, it is necessary to prevent postoperative infection: most patients can pass this hurdle, generally about 10 days.

2. Difficulties in healing after femoral neck fracture surgery: poor blood circulation in the femoral neck area, most patients are middle-aged and elderly, so the healing is relatively slow, generally takes about 3 months to 1 year, and the older the healing, the more difficult it is to heal, and the non-union rate can reach about 30%. 3. Prevent femoral head necrosis after femoral neck fracture surgery.

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. Tips:

It is not very safe after femoral neck fracture surgery, so we must pay attention to these 3 points of precautions after femoral neck fracture surgery, so as to prevent and treat complications after femoral neck fracture surgery.

of occurrences.

Femoral neck fracture: The femur is made up of the femoral head, femoral neck, femoral shaft, and femoral condyle. The front of the femoral neck is all within the capsule, and only the medial 2 3 part of the back is within the capsule.

Blood from the femoral head and femoral neck** comes from arterioles within the joint capsule, femoral shaft trophic arteries, and round ligament arterioles. If the trauma destroys the blood vessels**, it will not only affect the healing of the fracture, but also cause avascular aseptic necrosis of the femoral head. Femoral neck fractures are more common in older people.

Because older people have osteoporosis and a fragile femoral neck, even minor trauma such as a slip on a flat floor or a sudden twist of the affected limb can cause fractures. Femoral neck fractures generally take 12 to 24 weeks to achieve clinical healing. Fractures are divided into abduction, adduction, and basilar fractures.

Abduction fractures: with broken end embedding, generally stable. It can be applied externally and orally** with osteopathy, plus traction.

After 8 weeks, the crutches are gradually weight-bearing until the fracture is firmly healed, which takes 3 months. Basilar fracture: easy to repair and heal, with bone grafting drugs for external application, oral **, plus traction.

After 8 weeks, the crutches were gradually weight-bearing, and after 3 months, the bone healed before they could abandon the crutches and walk. Adduction fracture: manual reduction and internal fixation of three-wing nails are mostly used.

Oral osteopathic medicine to aid healing**. Femoral neck fractures, the most important thing is the long recovery time, and the prevention of avascular necrosis of the femoral head is the main thing. Traditional Chinese medicine osteopathy is a good medicine to prevent the occurrence of necrosis of the femoral head, and it is hoped that patients will choose it when they are **.

Precautions for patients: Before healing, do not sit cross-legged, do not lie on the side, and do not go down to the ground too early to bear weight, otherwise it will affect the stability of the broken end or cause deformity. If traction is applied, special attention should be paid to the fact that the affected limb must be traction in the outer booth, and the abduction should not be less than 40°.

**, the affected limb should be placed in a functional position. And pay attention to the functional activity of the knee joint to avoid knee stiffness. Bone wound medicine is used for stiffness**.

Don't completely bear weights, have time to do straight leg lifts, slow down muscle atrophy, regularly go to the hospital to find the chief surgeon for follow-up to see the ** situation, don't do squatting for the time being, to prevent joint dislocation. Good luck with you**.

Surgery, generally speaking, can be used for 15 to 20 years after replacement, and some may be longer. Compared with the past, the joints of titanium alloy have good histocompatibility and their elastic modulus is closer to that of bone. However, no matter how good the artificial joint is, it is not as good as its original one, but it is undoubtedly the best choice for the elderly femoral neck fracture that cannot be healed or is not easy to heal and can have many other conditions.

Good morning.

Attention should be paid to function and muscle exercise to prevent muscle contraction.

The best way to reduce the chance of necrosis is to postpone weight-bearing time The later the weight-bearing, the better.

What happens if the femoral neck fracture is operated on for more than 48 hours, what medicine can I take to prevent necrosis of the femoral head, and where can I buy bone neck tablets and compound salvia tablets

Suggestion: Hello: After the femoral neck fracture is fixed, quadriceps exercises, foot and ankle exercises and full-body exercises should be performed.

Patients are encouraged to do qigong every day, take deep breaths or cough on their chests to facilitate expectoration. If the femoral neck fracture is not displaced, it can be re-examined and approved by X-ray** about 3 months after the injury, and then do the non-weight-bearing walking exercise with crutches; If the femoral neck fracture is displaced, the weight-bearing time should not be too early, and the affected limb should be considered according to the X-ray** of the affected part of the patient and the clinical fracture healing. The average healing time of femoral neck fractures is 5-6 months, and the fracture nonunion rate is high, about 15%.

Patients with fractures near the femoral head should not be taken lightly if they want to stay away from necrosis of the femoral head. Patients with fractures should be treated in a timely manner, shorten the time, and the longer the time, the more likely it is to cause necrosis of the femoral head; After fracture surgery, patients should not bear weight, and pay special attention when moving to prevent the fracture from dislocating; Go to the hospital regularly for follow-up check-ups and pay close attention to fracture healing. Good luck with a speedy **.