Which method is the best for 59-year-old femoral neck fracture surgery?

Indications of artificial joint replacement:

1.60 Fracture of femoral head and neck in the elderly, with obvious displacement and difficult healing.

2. Femoral neck comminuted fracture under the head.

3. The old fracture of femoral neck does not heal or the femoral neck has been absorbed.

4. Patients with femoral neck fracture who can't cooperate with treatment, such as hemiplegia, Parkinson's disease or mental patients.

5. Adult idiopathic or traumatic avascular necrosis of femoral head has a large range, but the acetabulum injury is not serious and cannot be repaired by other operations.

6. It is not suitable to scrape the benign tumor of femoral neck with bone graft.

Defects of joint replacement (femoral head replacement):

1. Generally speaking, femoral head replacement can only be performed between 10 and 15 without considering other unfavorable factors. If the time limit is reached, the second femoral head replacement must be carried out, which will bring secondary injury to patients with femoral head necrosis. A person can only do femoral head replacement twice at most. 2. The high cost of femoral head replacement is unaffordable for many patients with femoral head necrosis, let alone two femoral head replacements, which is also one of the shortcomings of femoral head necrosis replacement. 3. Femoral head replacement requires high medical skills of doctors. If the operation is improper, it will cause many symptoms: ① Patients are prone to joint dislocation after operation, especially the sitting posture is incorrect. ② The leg length of patients will be different after operation, which not only affects the image of patients, but also brings great inconvenience to patients' actions. (3) The surgical site is compressed and there is edema, which affects the nerves, and the patient's limbs will be numb. ④ Surgery may damage the bones in other parts and prolong the repair time of patients. 4. Femoral head replacement is risky and needs to be borne by the patient.

It is recommended to fix it with steel nails. It usually takes about three months from the beginning of fracture to bone fusion. Even if femoral head necrosis occurs, other methods can be used to treat it, so as to avoid the shortcomings of femoral head replacement. It is not recommended to replace the artificial joint easily.

Matters needing attention after operation:

Reduce the load of the affected limb in a short time, brake and exercise the affected limb according to the doctor's advice, and don't exercise blindly to avoid fracture displacement. After the swelling of the affected limb subsided one week after operation, as long as there was no special discomfort in the hip joint operation area, the affected limb was actively flexed and squatting was prohibited for half a year. 1 month, 3 months, 6 months, 1 year later, pelvic anteversion and lateral radiograph of hip joint were reviewed. Prevent fracture nonunion and femoral head necrosis, and treat them in time.

If you have any questions, please leave a message and hope to adopt it.

May your mother recover soon.

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