MAHMUT NEDİM AYTEKİN, Fatih KÜÇÜKDURMAZ, Mahmut KÖMÜRCÜ, Fuat AKPINAR

Femur boyun kırıkları

Femur boyun kırıkları yaşlılarda düşük enerjili travmalarla oluşurken, sağlıklı gençlerde yüksek enerjili travmalar sonucu oluşur. Tipik hasta profili düşme sonrası yürüyemeyen yaşlı, genellikle bayan, komorbiditesi olan, kalça ağrısıyla başvuran ve kırık ayağı dış rotasyonda duran hastalardan oluşur. Düşmenin sebebi araştırılmalı; nöbet, inme, miyokard enfarktüsü ve senkop gibi akut medikal durumlar ekarte edilmelidir. Femur boyun kırıklar ı subkapital ve baziservikal olarak tariflenebilir. Subkapital kırıklar için en sık Garden ve Pauwel sınıflandırmas ı kullanılır. Femur boyun kırıkların çoğunlukla tedavisi cerrahi ile olur. Genç hastalarda fiksasyon öncelikli tedavidir ve ortopedinin acil ameliyatlarından biridir. Yaşlı hastalarda ise ayrışmamış kırıklar dışında genellikle daha çok artroplasti tercih edilmektedir.

Femoral neck fractures

Femoral neck fractures occurs due to low energy traumas in the elderly people while it occurs with high energy traumas in the young adults. Typical patient profile is an elderly female with comorbidities who is unable to walk after fall, presenting with hip pain with the effected foot positioned in external rotation. The reason for the fall injury should be investigated and acute medical conditions such as seizure, stroke, myocardial infarction and syncope should be eliminated. Femoral neck fractures may be classified as subcapital and basicervical. Garden and Pauwels classification is frequently used for subcapital fractures. Femoral neck fractures are generally treated with surgery. Fixation is the primary treatment in the young patients which is one of the exceptional emergency operations of orthopedics. On the other hand, arthroplasty is preferred in the elderly patients except nondisplaced fractures.

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