Which treatment is better when proximal femur fractures?

Proximal femur fractures are treated with surgery. Proximal femur fractures are treated by using IM nail or an extramedullary sliding hip screw (SHS) or hip arthroplasty methods depending on the condition of the patient or the choice of the surgeon.

Which fracture is most likely to need an open reduction internal fixation?

Most people with a fractured femur need some sort of surgery, usually ORIF. Without the surgery, your broken femur may not heal properly. ORIF can place your bones back into their proper configuration. This significantly increases the chance that your bone will heal properly.

How do they put a rod in a broken femur?

An intramedullary rod is inserted into the top of the femur and guided down through the fracture site and into the bottom portion of the bone. Surgical screws are inserted into the top end of the femur, through the rod and into the femoral head to secure the rod.

How long does internal fixation surgery take?

In most cases, the surgery takes about 1 to 2 hours. But it can take longer, depending on how serious the fracture is.

Should a fractured femur be immobilized before transporting to the hospital?

If the reduction is not successful or there are other life-threatening conditions which need treatment, immobilization is not necessary but is preferred to support the affected limb in a position of comfort until the patient can go to the operating room for definitive treatment.

Is external fixation an open reduction?

Open Reduction and External Fixation refers to techniques that use surgical hardware to stabilize a fracture from the outside of the skin. Your surgeon will make an incision and place your bones in the proper position for healing, then secure the bones with surgical pins that are placed through the outside of the skin.

Is internal fixation permanent?

In many cases, they are used in conjunction with other forms of internal fixation, but they can be used alone to treat fractures of small bones, such as those found in the hand or foot. Wires are usually removed after a certain amount of time, but may be left in permanently for some fractures.

How long is rehab for broken femur?

The majority of people who suffer a femur fracture will need specialized treatment in a skilled nursing or rehabilitation facility. Full recovery from a femur fracture can take anywhere from 12 weeks to 12 months.

How long does it take to walk after a broken femur?

Full recovery from a femur fracture can take anywhere from 12 weeks to 12 months. But you are not alone. Most people experiencing a femur fracture can begin walking with the help of a physical therapist in the first day or two after injury and/or surgery.

What type of splint is best for use on a femur fracture?

Sager splint sits between the leg against the ischial tuberosity, so it is more effective for proximal femur fracture than hare splint. Also, one Sager splint can be used for a bilateral femur fracture.

Which is better internal or external fixation?

A study from an international agency compared internal and external fixation long-term results and found that patients treated with internal fixation had better results anatomically, but did not demonstrate better functionality.

What is a femur fracture open reduction and internal fixation?

What is a femur fracture open reduction and internal fixation? Open reduction and internal fixation (ORIF) is surgery used to stabilize and heal a broken bone. You might need this procedure to treat your broken thighbone (femur). The femur is the large bone in the upper part of your leg.

Why do they put a rod in your femur fracture?

This prevents your bones from healing abnormally. For a fracture in the long, middle part of your femur, your surgeon may insert a long metal rod through the middle of your bone. The entire operation usually takes place while you are asleep under general anesthesia.

What is external fixation for broken bones?

The pins are secured together outside of the skin using a series of clamps and rods known as the external frame. External fixation is performed by an orthopedic surgeon and is usually done under a general anesthetic. The procedure itself typically follows the following steps: Holes are drilled into the undamaged areas of bones around the fracture.

What are the risks of surgery for a broken femur?

There is also a risk that the fracture won’t heal properly and that you’ll need repeat surgery. Your risk for complications may vary according to your age, the anatomy of your femur fracture, and other medical conditions. For example, people with low bone mass or diabetes may be at greater risk for some complications.