How to treat femoral neck fracture?

(1) Non-surgical therapy. Non-surgical treatment should be chosen for fractures with no obvious displacement, stable fractures such as abduction or embedding, too old, poor general condition or serious disorders of heart, lung, kidney and liver function.

Wear anti-dislocation shoes, drag the skin of lower limbs and stay in bed for 6-8 weeks. At the same time, isometric contraction training of quadriceps femoris and flexion and extension activities of ankles and toes are carried out to avoid venous reflux disorder or venous thrombosis. Bedridden complications such as lung infection, urinary tract infection and bedsore should be avoided. Generally, sit up in bed gradually after 8 weeks, but you can't sit cross-legged. Three months later, I landed on crutches without any weight. After 6 months, gradually abandon crutches to walk.

(2) surgical treatment. Indications: adduction fracture and displacement fracture; Subfemoral head fracture in the elderly over 65 years old; Femoral neck fracture in adolescents should be anatomically reduced as much as possible; Old femoral neck fracture nonunion; Malformation healing that affects function; Avascular necrosis of femoral head or osteoarthritis of hip joint.

(3) surgical methods. Closed reduction and internal fixation; Open reduction and internal fixation; Artificial joint replacement.