Bastard Claire
Service de chirurgie orthopédique et traumatologique, hôpital Henri-Mondor, Créteil, France.
Rev Prat. 2019 Dec;69(10):1124-1128.
FEMORAL NECK FRACTURE. Femoral neck fractures represent the third most common type of fracture in traumatology. The diagnosis is based on the clinic and radiographs of the pelvis and the hip. The choice of treatment depends on the type of fracture (with displacement in coxa vara, coxa valga, or without displacement), the age of the patient, his autonomy and his co-morbidities. In elderly patients with a displaced fracture in coxa vara, arthroplasty will be preferred, whereas for non-displaced or coxa-valga fractures, as well as in younger patients, osteosynthesis will be performed. The expertise of the surgical management of these fractures is fundamental for the elderly, as well as the multidisciplinary management involving geriatricians. For the elderly person, the goal of the treatment is to get walk and autonomy as quickly as possible while minimizing complications and medical decompensation.
股骨颈骨折。股骨颈骨折是创伤学中第三常见的骨折类型。诊断基于骨盆和髋部的临床症状及X线片。治疗方法的选择取决于骨折类型（髋内翻、髋外翻或无移位）、患者年龄、自理能力及合并症。对于髋内翻移位骨折的老年患者，首选关节置换术；而对于无移位或髋外翻骨折患者以及年轻患者，则进行骨固定术。这些骨折手术管理的专业知识对老年人至关重要，涉及老年病医生的多学科管理也同样重要。对于老年人，治疗目标是尽快恢复行走和自理能力，同时尽量减少并发症和医疗失代偿。
