[Bone diseases with Pain: Femoral neck fracture].
Although it is obvious that femoral neck fracture shows the worst prognosis of the physical function among variously osteoporotic symptoms, it is true that the fracture is the most painful disease. The fracture is treated to recover the physical function, instead of relieving the pain. Femoral neck fracture is classified into medial fracture broken at the inside of the capsule of hip joint and lateral fracture broken at the outside. A foreign paper emphasized the efficacy of early surgical treatment to relieve the pain, but in late day, correct surgery under the control of complications is revealed to introduce a good physical function and low mortality in Japan, as almost all the patients with femoral neck fracture is 80 years old or over, and have variously severe complications. Even in the delayed operation, early intervention of rehabilitation leads lower mortality and better prognosis of physical function. Femoral neck fracture is recently treated by those advanced surgery and rehabilitation, but number of independent patient reduced by two third and one of bed-ridden patient increased by 2.5 times one year after the fracture. So it would be important that the occurrence of femoral neck fracture reduced by increase of bone strength, prevention of falls, and adaptation of hip protector.
Hayashi
Yasufumi
Y
Tokyo Metropolitan Rehabilitation Hospital, Department of Orthopaedics.
D019643:Arthroplasty, Replacement; D005265:Femoral Neck Fractures / Q000145:classification / Q000150:complications / Q000517:prevention & control / Q000628:therapy; D005270:Femur Head / Q000601:surgery; D006801:Humans; D019637:Orthopedic Procedures; D010146:Pain / Q000209:etiology*; D059408:Pain Management; D011379:Prognosis