Femoral Neck Fracture
Have you or a loved one had a fall and are experiencing intense hip pain with inability to stand up? Femoral neck fracture is a common traumatic emergency in elderly people, requiring rapid surgical management. In Tunisia, orthopedists specialized in traumatology perform osteosynthesis and hip prostheses at competitive prices.
Femoral Neck Fracture: What is it?
Femoral neck fracture is a fracture of the upper end of the femur, at the femoral neck, the area that connects the femoral head (articular sphere) to the shaft (cylindrical part of the bone). This fracture is often the result of a fall or direct trauma to the hip.
Femoral neck fracture is a surgical emergency that mainly affects elderly people (over 65), due to osteoporosis (loss of bone density). It can also occur in young patients following violent trauma (road accident, fall from height).
Types of Femoral Neck Fractures
Femoral neck fractures are classified according to their location and displacement. An intracapsular fracture is inside the joint capsule. An extracapsular fracture is outside the capsule. A subcapital fracture is just below the femoral head. A transcervical fracture is at the level of the neck. A basicervical fracture is at the base of the neck. A displaced fracture has separated bone fragments. A non-displaced fracture keeps fragments in contact.
Causes of Femoral Neck Fracture
Femoral neck fracture can have several causes. A fall is the most common cause in elderly people. Osteoporosis weakens the bone and promotes fractures. A road traffic accident is a cause in young people. A sports accident can cause direct impact. A bone tumor weakens the bone. Finally, a bone infection such as osteomyelitis can be the cause.
Symptoms of Femoral Neck Fracture
A femoral neck fracture manifests with characteristic symptoms. Intense pain is felt in the hip and groin. Inability to stand up is common. Shortening of the limb is visible. The foot shows external rotation. Swelling of the hip area is possible. Bruising may appear.
Diagnosis of Femoral Neck Fracture
Diagnosis of a femoral neck fracture is based on several examinations. Clinical examination includes inspection and palpation. X-rays from front and side of the hip are performed. CT scan is used for complex fractures. MRI may be prescribed for occult fractures.
Surgical Treatment of Femoral Neck Fracture
Surgery is the reference treatment for femoral neck fracture. The procedure should be performed within 24 to 48 hours to reduce the risk of complications.
1. Osteosynthesis by Screwing
Screwing is indicated for non-displaced fractures or in young patients. It stabilizes bone fragments with 3 parallel screws. This technique preserves the femoral head. The procedure is performed under general or spinal anesthesia. It lasts 1 to 1h30. It allows preservation of the natural joint.
2. Hip Prosthesis (Arthroplasty)
Hip prosthesis is indicated for displaced fractures or in elderly patients. It involves replacing the femoral head with a prosthesis. Two types exist: total or hemiarthroplasty. The procedure is performed under general or spinal anesthesia. It lasts 1h30 to 2 hours. This technique allows early return to walking.
Post-Operative Course and Recovery
Recovery after hip surgery is well codified. Hospitalization lasts 4 to 7 days. Weight-bearing is immediate after prosthesis, but progressive after screwing. Rehabilitation begins from the first post-operative days. Walking aids such as a walker then canes are used. Bone healing occurs at 3 months. Full recovery occurs in 4 to 6 months.
Rehabilitation Exercises
Rehabilitation after hip surgery is essential. It includes mobilization of the hip in flexion, extension and abduction. Muscle strengthening of the quadriceps and gluteals is performed. Balance work is important for standing. Walking is progressively resumed with aids. Finally, stair climbing is progressively reintroduced.
Risks and Complications
Several complications may occur after hip surgery. Infection is rare and prevented by antibiotic prophylaxis. Blood clots are prevented by anticoagulants. Prosthesis dislocation is possible. Femoral head necrosis may occur after screwing. Non-union is rare. Nerve damage is exceptional.
Prices for Femoral Neck Fracture Treatment in Tunisia
Tunisia offers very competitive prices for femoral neck fracture treatment. An orthopedic consultation costs between €80 and €120. Osteosynthesis by screwing is offered from €2,500 to €3,500. Hemiarthroplasty costs from €3,500 to €5,000. Total hip prosthesis is available from €4,500 to €6,500. A rehabilitation package of 20 physiotherapy sessions is offered from €400 to €800.
Frequently Asked Questions about Femoral Neck Fracture
1Does a femoral neck fracture always require surgery?
Yes, in the vast majority of cases, femoral neck fracture requires surgical intervention. Surgical treatment allows realignment of bone fragments and early return to walking, avoiding complications related to prolonged immobility.
2How long is the hospital stay for a femoral neck fracture in Tunisia?
Hospitalization is generally 4 to 7 days depending on the type of surgery (osteosynthesis or hip prosthesis) and the patient's general condition. Early rehabilitation is started from the first post-operative days.
3What is the difference between osteosynthesis and hip prosthesis?
Osteosynthesis (screws) consists of stabilizing bone fragments with screws. Hip prosthesis replaces the femoral head and neck with a prosthesis. Prosthesis is generally indicated in elderly patients or in case of displaced fracture.
4When can you walk again after a femoral neck fracture?
Walking resumption is early. After a hip prosthesis, weight-bearing is immediate from the day after surgery. After osteosynthesis, weight-bearing is progressive, generally allowed at 6 weeks.
5What are the risks of femoral neck fracture surgery?
Risks include: infection, bleeding, blood clots (phlebitis, pulmonary embolism), prosthesis dislocation, nerve damage, non-union, and anesthesia-related complications. Appropriate prevention is implemented to reduce these risks.
6How long is the recovery period after a femoral neck fracture?
Bone healing takes 3 months. Full recovery of mobility and muscle strength takes 4 to 6 months. Rehabilitation is essential to regain independent walking.
7What precautions should be taken after a hip prosthesis?
Precautions include: not crossing legs, not sitting on low seats, not leaning forward, avoiding sudden movements, and using walking aids during the first weeks. The surgeon will give specific instructions to avoid prosthesis dislocation.
Why Choose Tunisia for Femoral Neck Fracture Treatment?
Our orthopedists are experienced, trained in Europe and specialized in hip surgery. They use modern techniques such as percutaneous screwing and latest-generation prostheses. Our prices are competitive, 40 to 60% cheaper than in Europe. Care is rapid with surgery within 48 hours. Personalized follow-up includes early rehabilitation and comprehensive support.
In Conclusion
Femoral neck fracture is a traumatic emergency that requires rapid surgical management to preserve the patient's mobility and independence. In Tunisia, Tunisie Esthetic offers you quality care, performed by orthopedists specialized in traumatology, with modern techniques (screwing, hip prosthesis) and competitive prices. Do not hesitate to contact us for a personalized and free quote.