Femoral Neck Fracture: Therapy

General measures

• Review of permanent medication due topossible effect on existing disease.

General therapy measures – pre-stationary

• Proceed expeditiously to surgical therapy – surgery within six to 24 hours reduces the risk of femoral head necrosis
• Transport/rescue under gentle longitudinal traction on the fractured leg.
• Position on a vacuum mattress/foam splint, etc.
• Sacrum (sacrum), coccyx and heel cushioning.
• Prehospital do not reduce (no setting of the fracture)!

General therapeutic measures – inpatient

• Thromboprophylaxis – fractionated low-molecular-weight heparin; mechanical measures (intermittent pneumatic compression and foot pumps) reduce the risk of asymptomatic thrombosis from 19% to 6%; elastic compression stockings).
• Infection prophylaxis
• Pressure ulcer prophylaxis (measures to prevent a pressure ulcer) – during surgery positioning on gel mats; special mattresses in the hospital bed; padding of sacrum sacrum), coccyx and heels.
• Rapid mobilization after surgery

Anesthesia procedure

• There is no difference between regional and general anesthesia in terms of postoperative complications
• Regional anesthesia procedures reduce the likelihood of thrombosis

Conservative therapy

• Indicated in cases of pronounced comorbidities (concomitant diseases) that severely limit survival of the operative phase
• Pain therapy
• Joint puncture if necessary
• Pain-dependent mobilization under increasing load; physiotherapy (avoidance of rotational movements).
• Swimming and cycling may be recommended postoperatively
• The body weight should be normalized

Nutritional medicine

• Nutritional counseling based on nutritional analysis
• Nutritional recommendations according to a healthy mixed diet taking into account the age. This means, among other things:
  • Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruit).
  • Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
  • High-fiber diet (whole grain products).
• Selection of appropriate food based on the nutritional analysis
• See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
• Detailed information on nutritional medicine you will receive from us.