Annisaa Nurfitri MR.

C 111 07 150

Mentors
dr. Teuku Nanta A.
dr. Evan

Supervisor
dr. Zulfan Oktasatria Siregar, Sp.OT.

Orthopaedic and Traumatology Department

Hasanuddin University
2011
 The femoral neck is the intracapsular
portion of the proximal femur
between the femoral head and the
lesser and greater trochanters
Femoral neck fractures are most
common in elderly patients, although
younger patients involved in high-
energy trauma also are affected
 Incidence : 27,7 % in males and 63,3
% in females (100.000 persons)
Prevalence
Young population males >>
females
Elderly patients females >> males
 Osteoporosis major risk factor in
the elderly
Factors that increase the risk of
falling, such as an unsteady gait
Female gender (postmenopausal)
Physical inactivity
Caucasian race
Signs & Symptoms
Severe pain in the groin area
Unstable fracture the leg is
shortened
May be unable to ambulate
Patients hold their hips slightly flexed
and externally rotated
Pain is worsened with attempted ROM
or axial loading
Stable fractures will not have
shortening or rotational deformity
 Perform an examination for pain on
ROM, especially internal rotation
Unstable fractures the leg often is
rotated externally and shortened
Examine the pelvis with direct
palpation & radiography exclude a
concomitant pelvic fracture
Active straight-leg raise will provoke
pain
 Preoperative laboratory tests
Blood type
ECG
 Nondisplaced fracture
Pelvic fracture
Intertrochanteric fracture
Infection
Greater trochanteric bursitis
Metastatic disease
General Measures
 Osteonecrosis of the femoral head
Nonunion or malunion of bone
Prosthetic dislocation or loosening
Persistent pain
Infection
Cardiopulmonary complications
Postoperative delirium
DVT