Surgical and Nonsurgical Treatments for Proximal Femur Fractures

Abstract

The number of proximal femoral fractures is increasing due to traumatic injuries, falls, and heavy exercises. In femoral neck fractures, a number of screws or a device called dynamic hip screw (DHS) are commonly used to fix the fractured hip. In intertrochanteric fractures, DHS or intramedullary nailing (IMN) is usually used to fix the fracture. In subtrochanteric fractures, IMN is usually used to fix the fracture. An orthopedic physician may decide not to perform the surgery only in patients who do not tolerate surgery due to severe and advanced comorbidities or patients who could not walk even before fracture. Rarely, in some types of hip fractures that are completely stable and nondisplaced, the physician may decide to use nonsurgical treatments, mostly bed-rest at home. However, this type of treatment is associated with the risk of further fracture displacement, during the rest period. If a nonsurgical treatment is chosen, strict follow-ups and frequent radiographies should be performed for the patient's fractures so that the physician can be informed if fractures are dislocated and, if necessary, perform surgery on the patient.

Radiological Assessment of Critically Sized Femur Fracture Healing Using a Combination of Intramedullary Pin with Polymethylmethacrylate and Calcium Phosphate in Dog Model

“…The appropriateness of fixation methods hinges on factors such as the fracture type, its severity, the available facilities, and the agreement of the pet owners (Muhammad et al 2021;Foruria 2023). Intramedullary pins, CaP ceramics and PMMA are commonly used implants to treat bone fractures in veterinary patients (Zhu et al 2017;Frydoni and Esmaeilnejad 2020;Singh et al 2022).…”