Femoral Neck Fracture Progress

Clinical Orthopedics is the common femoral neck fracture one of the more elderly people over the age of 60。With the average life expectancy of growth, the incidence rate has increased year by year.They have some obvious characteristics:First, the average age of patients was higher than the average mortality rate of high fracture;second fracture easily damaged when the blood supply,will not only affect fracture healing and prone to collapse and avascular necrosis, the rate was 20% ~30% ;third,on the functional anatomy of the characteristics of fracture site often bear greater shear stress , fracture and fracture reduction affecting the stability,thereby affecting the effectiveness of internal fixation, despite internal fixation methods Repeated reform, fractures not the general fracture healing rate was still high, about 10% to 20%.Treatment of femoral neck fracture in the elderly is designed to reduce complications, reduce mortality and improve the rehabilitation of the elderly and the quality of life . Fracture treatment , and prevention of complications of systemic treatment of osteoporosis among the Equal emphasis should be placed, so that elderly patients with femoral neck fracture can go walking, carrying, loss of normal life activity, prolonged bed rest easy pneumonia, bedsores and urinary tract complications such as infections, which are the cause of femoral neck fracture in the elderly main reason for the increase in mortality.At home and abroad in the treatment of a large number of studies,the efficacy of femoral neck fracture significantly improved,but has yet to osteonecrosis of the femoral head after significant progress was made,now a number of studies in recent years are summarized below. This paper is divided into three parts content.On the first part of anatomical characteristics of the femoral neck,hip biomechanical characteristics. Because of the special nature of relations between the anatomy of the femoral neck,femoral head fracture after partial damage to the blood supply, and therefore of ischemic necrosis of femoral neck fracture healing fracture still need to be addressed in the main problem.At present that ischemic necrosis and fracture healing occurred with the initial trauma of the vascular supply to the extent of damage , as well as significantly related fracture reduction.Therefore, in order to promote the healing of femoral neck fracture, reducing necrosis of the femoral head fracture healing and the incidence,should consider the following three questions:(1)Repair of local blood supply(2)accurate reset (3)strong fixed.The second part introduces the TCM and Western medicine for femoral neck fracture etiology and pathogenesis of research. With an emphasis on older pathogenic characteristics of the femoral neck fracture.The third part includes progress in the treatment of femoral neck fracture. Including non-surgical treatment, surgical treatment , as well as fractures Nursing , and other complications and prognosis. The purpose of the exercise method.