Femoral fractures
Sics Editore
Okt 2014 · SICS Editore
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41
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Correctly chosen and performed surgical treatment of the fracture, early mobilization, and good management of the patient’s general diseases are essential – institutional care is a threat.
It is advisable to start with thrombosis prophylaxis already before the patient is referred further, at least if the transportation distance is long, e.g. with dalteparin 5 000 IU s.c. or enoxaparin 40 mg s.c. Carefully register time and dosage (essential information for spinal anaesthesia)!
Non-dislocated fracture of the femoral neck may pass unnoticed (relatively painless, the patient may be able to put weight on the limb, poorly visible on x-ray). Always carefully examine the hips of an elderly patient after a fall accident, even if he/she only complains of e.g. the knee.
It is advisable to start with thrombosis prophylaxis already before the patient is referred further, at least if the transportation distance is long, e.g. with dalteparin 5 000 IU s.c. or enoxaparin 40 mg s.c. Carefully register time and dosage (essential information for spinal anaesthesia)!
Non-dislocated fracture of the femoral neck may pass unnoticed (relatively painless, the patient may be able to put weight on the limb, poorly visible on x-ray). Always carefully examine the hips of an elderly patient after a fall accident, even if he/she only complains of e.g. the knee.
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