Femoral neck fracture. How to get back on your feet after surgery

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Consequences of a fracture

There are several types of fractures, and accordingly, the patient’s condition depends on the specific case. With adequate treatment, consequences can be avoided or minimized. Often a fracture occurs as a result of a fall on the side, in which the impact falls on the hip and damages the weakest part of the bone - the neck.

Ignoring the injury when the femoral neck is damaged is impossible due to the sharp deterioration of the patient’s condition. Depending on the nature of the fracture, age and general health of the person, conservative or surgical treatment is used, followed by rehabilitation. Surgery is performed more often: implantation of wires, rods, total hip replacement. As a result, joint mobility is restored and the patient is able to walk again.

The consequences of a neck fracture include:

necrosis of the head of the bone due to impaired blood supply. Necrosis develops, which progresses, deforming arthrosis, irreversible changes occur;
formation of a false joint inside bone fragments during nonunion;
vein thrombosis, the development of which is caused by prolonged stay in one position;
stagnation of sputum and tendency to pneumonia;
depression.

Sample recovery plan

Rehabilitation after surgery on the hip joint or after a fracture with immobilization begins from the first days. First of all, this is breathing diaphragmatic exercises, which eliminates the risk of congestion in the lungs.

After 7-12 days, massage and physiotherapy sessions are added. They help normalize muscle tone, improve blood supply to the damaged joint, and accelerate regenerative processes.

The basis of rehabilitation after a hip fracture is physical therapy. Dosed physical activity helps prevent complications and quickly return the victim to a full life. Exercise therapy after a hip fracture with immobilization at the initial stage is carried out only for the shoulder girdle. The patient will be able to fully engage in exercise therapy no earlier than after 3-4 months.

In the case of endoprosthetics, passive-active training begins 3 days after surgery. Special gymnastics for a hip fracture are performed sequentially - first lying down, then sitting, and only then standing. Restoring walking skills and full-fledged exercise therapy after hip replacement begins in the 2nd week of the rehabilitation period.

Non-surgical or post-operative restoration of the hip joint takes place at home, where the care of the victim falls on the shoulders of relatives. Not everyone can carry such a load on their own, therefore, it is better to entrust the care of a loved one to a professional nurse. The patronage service “Reliable Support” offers its services. To provide qualified assistance, we will select a staff member trained in managing patients under the fracture rehabilitation program.

Possible complications

The need for a special rehabilitation regimen after a femur fracture is dictated by the high risks of complications. Prolonged immobility, especially in old age, is associated with the occurrence of:

hypostatic pneumonia, threatening the development of respiratory failure;
aseptic necrosis (tissue death) of the femoral head;
intestinal atony (impaired bowel movements due to muscle atrophy);
thrombophlebitis of the leg veins (slow blood movement provokes the formation of blood clots);
psycho-emotional disorders (bedridden patients become depressed, become whiny and irritable);
bedsores that easily turn into open, painful wounds.

Only special care for a bedridden patient with a femoral neck fracture can minimize dangerous consequences.