Fracture of the Femur Fixation (Hip or Thigh Bone)

Femur anterior view

What is Fracture of the Femur Fixation (Hip or Thigh Bone)?

Femur fractures are breaks in the femur, the long bone in the thigh. These fractures can occur in the hip (proximal femur), shaft (mid-femur), or knee (distal femur). Fixation involves surgically repairing the broken bone fragments and stabilizing them with hardware to promote healing and restore function.

When is Surgery Necessary?

Surgery is typically necessary for:
Displaced Fractures: When the bone fragments are significantly out of place.
Comminuted Fractures: When the bone is broken into multiple pieces.
Open Fractures: When the broken bone has pierced the skin.
Intra-articular Fractures: When the fracture extends into the hip or knee joint.
Pathological Fractures: Fractures caused by weakened bone due to disease.
Fractures that cannot be treated with closed reduction: When non-surgical methods are inadequate.

Types of Femur Fracture Fixation:

Intramedullary Nailing (IM Nailing): Inserting a metal rod into the marrow cavity of the femur.
Plate and Screw Fixation: Using metal plates and screws to stabilize the fracture.
Hip Arthroplasty (Hip Replacement): Replacing the hip joint in severe proximal femur fractures.
External Fixation: Using pins and an external frame to stabilize the fracture (less common for femur fractures).

Surgical Procedure (IM Nailing as an example):

Anesthesia: General or regional anesthesia is used.
Incision(s): Small incisions are made at the hip and knee.
Fracture Reduction: The broken bone fragments are realigned.
Nail Insertion: An intramedullary nail is inserted into the marrow cavity.
Locking Screws: Locking screws are inserted to secure the nail to the bone.
Closure: The incisions are closed with stitches or staples.

Recovery

Hospital Stay: A hospital stay is typically required.
Pain Management: Pain medication is prescribed.
Weight-Bearing Restrictions: Weight-bearing restrictions are necessary for a period of time.
Physical Therapy: Rehabilitation is crucial for regaining strength, mobility, and function.
Activity Restrictions: Certain activities are restricted for several months.

Disclaimer

This information is for general knowledge and informational purposes only and does not constitute medical advice. It is essential to consult with a qualified healthcare professional for any health concerns or before making any decisions related to your health or treatment.

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