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Femoral Neck Fractures
Posted: Apr 14 2023 #(C102164)
A

Femoral Neck Fracture in 53M

HPI

A 53-year-old male presents to an outside hospital in the early morning, about 8 am, after a bicycle crash. He had immediate hip pain and an inability to ambulate. The patient was transferred to a trauma hospital at 830pm, about 12 hours after the injury, for definitive management. He is an avid cyclist and often does 100-mile rides.

PMH

No past medical history. The patient does not smoke tobacco or drink alcohol.

PE

The affected hip was short and externally rotated. Painful to ROM. Neurovascularly intact distally.

Poll
1 of 1
1. If you choose Operative management, what surgical technique would you use?
I would not choose Operative management
0%
7/1158
Fracture reduction internal fixation (FIX)
75%
872/1158
Total hip arthoplasty (THA)
18%
217/1158
Hemiarthroplasty (Hemi)
3%
45/1158
Outside my area of expertise - best if I don't vote
1%
17/1158
Intra-procedure P1
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OUTCOMES
1 day after
Post-procedure P1
8 weeks after
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7 months after
Post-procedure P1
7 months after
Post-procedure P1
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