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The most common cause for hip fractures in the elderly is osteoporosis; if this is the case, treatment of the osteoporosis can well reduce the risk of further fracture. Only young patients tend to consider having it removed; the implant may function as a stress riser , increasing the risk of a break if another accident occurs.
A 50-year-old white woman is estimated to have a 17.5% lifetime risk of fracture of the proximal femur. The incidence of hip fractures increases each decade from the sixth through the ninth for both women and men for all populations. The highest incidence is found among men and women ages 80 or older. [193]
A femoral fracture is a bone fracture that involves the femur. They are typically sustained in high-impact trauma, such as car crashes , due to the large amount of force needed to break the bone. Fractures of the diaphysis , or middle of the femur, are managed differently from those at the head, neck, and trochanter ; those are conventionally ...
A bone fracture (abbreviated FRX or Fx, F x, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. [1]
For low-grade fractures (Garden types 1 and 2), standard treatment is fixation of the fracture in situ with screws or a sliding screw/plate device. In elderly patients with displaced or intracapsular fractures many surgeons prefer to undertake a hemiarthroplasty , replacing the broken part of the bone with a metal implant.
The adhesive films are safer because they can be worn in the bath or shower, or when toileting. Hip protectors are most commonly used in elderly individuals who have a high risk of falls and hip fractures (for example, due to history of a previous fall and underlying osteoporosis). [1] Most hip fractures follow an impact due to a lateral fall. [2]
Pelvic fractures make up around 3% of adult fractures. [1] Stable fractures generally have a good outcome. [1] The risk of death with an unstable fracture is about 15%, while those who also have low blood pressure have a risk of death approaching 50%. [2] [4] Unstable fractures are often associated with injuries to other parts of the body. [3]
Elementary fracture Description Associated fractures Description Posterior wall: This is the most common variety of acetabular fracture. It typically occurs due to dashboard injury; when a person travelling in a vehicle involved in a head-on collision, the force applied over the flexed knee travels along the femur bone to the head of the femur, breaking the posterior wall of the acetabulum.