Proximal Femoral Fractures—Acute Management and Indications for Hip Replacement

BY CHRISTOPH SOMMER, PETER BATES, XAVIER GRIFFIN, JAMES WADDELL

Learning objectives

Proximal femoral shaft or neck fractures are common injuries. In younger patients, they tend to result from high-impact events such as falls from heights or motor-vehicle accidents; for older ones, many of whom are osteoporotic, even minor falls can result in fractures. And while the number of younger people with these fractures is fairly constant, the number of older patients, especially women, is growing as the baby-boom generation move into old age.

References

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  2. Marins MHT, Pallone LV, Vaz BAS, Ferreira AM, Nogueira-Barbosa MH, Salim R, Fogagnolo F. Ipsilateral femoral neck and shaft fractures. When do we need further image screening of the hip? Injury. 2021 Jul;52 Suppl 3:S65-S69. doi: 10.1016/j.injury.2021.01.040. Epub 2021 Jun 1. PMID: 34083022.
  3. Op cit. Alho, A, 1997
  4. Gupta A, Jain A, Mittal S, Chowdhury B, Trikha V. Ipsilateral femoral neck and shaft fractures: case series from a single Level-I trauma centre and review of literature. Eur J Orthop Surg Traumatol. 2023 May;33(4):803-809. doi: 10.1007/s00590-021-03199-3. Epub 2022 Feb 4. PMID: 35119486.