Problem description: The old man is 75 years old and has high blood pressure and diabetes. The image description of the DR examination is: the right femoral neck shows a discontinuity of cortical bone and a transparent fracture line, and the distal end is slightly moved up, showing a slight insertion-like change; the other bones that constitute the pelvis are still intact. There was no obvious abnormality in the relationship between the hip joints. There was no obvious abnormal density in the soft tissues of the intake area. The diagnosis opinion is: The image description of the CT examination of the right femoral neck fracture is: the right femoral neck (under the head) shows a discontinuity of the cortical bone and a transparent fracture line, and the distal end is slightly moved up, rotated and changed in insertion. There was no obvious abnormality in the hip joint relationship. The surrounding soft tissues are slightly swollen. There was no obvious sign of effusion in the pelvic cavity. The impression of the diagnosis is: right femoral neck fracture, picture one, picture two, DR, picture three, CT. I would like to consult, whether joint replacement must be done in this case, or is there any other way
Date of problem: 2021-05-18
Patient information:Age: 268 years old Gender: Female
Problem analysis:Hello, the examination result shows that there is a femur Neck fractures have a higher risk of femoral head necrosis due to poor local blood supply.
Guiding suggestions: In this case, the first choice is to do hip replacement surgery and replace the artificial femoral head, so that the elderly can go to the ground as soon as possible. Prolonged bed rest is a high-risk factor that affects the life span of the elderly. However, you need to evaluate your cardiopulmonary function, blood sugar and blood pressure before surgery, to see if you can tolerate the surgery.
Recommendations are for reference only. If the problem is serious, please go to the hospital for detailed inspection