". Get weekly and/or daily updates delivered to your inbox. Depending on how close to the hip the break is, it may be called a hip fracture instead of a femur fracture. 4th ed. An intramedullary nail can be inserted into the canal either at the hip or the knee. This site complies with the HONcode standard for trustworthy health information: verify here. On occasion, fixation will be delayed until other life-threatening injuries or unstable medical conditions are stabilized. Depending on your age, nature of the injury and the treatment, recovery after a femur fracture takes 6 m to 1 year. This rod helps support the bone until it heals. Your email address is used only to let the recipient know who sent the email. Fractures of the lower extremity. part may be reproduced without the written permission. Be careful not to stay in same position for too long. For example, if you are a smoker, your doctor or therapist may recommend that you quit. Click here to sign in with DO NOT soak in a bathtub, swimming pool, or hot tub until your provider says it is OK. Change your dressing (bandage) over your incision every day. The orthopaedic doctor will also check the x-ray for any damage to the growth area (growth plate) near the end of the femur. Before and after surgery, your doctor may help you manage your pain with over-the-counter and prescription medications, such as: Complications can arise with femur breaks. Spica casting. That's because a hip fracture dramatically increases an older person's risk of death. Other options include the use of artificial bone fillers. Footnote: Radiographs of the atypical femoral fracture. 13th ed. Moving your knee soon after surgery is the best way to prevent stiffness. Treatment that allows early motion of the knee lessens the risk of knee stiffness, and prevents problems caused by extended bed rest, such as bed sores and blood clots. Some knee stiffness is expected after a distal femur fracture. Older adults have a five-to-eight times higher risk of dying within the first three months of a hip fracture compared to those without a hip fracture. Your doctor will decide which type of spica cast is most effective for treating your child’s fracture. With that being said, certain medical conditions can weaken the bone and make it more vulnerable to fracture. Doctors generally agree that displaced femur fractures that have shortened more than 3 cm are not acceptable and require treatment to correct at least a portion of the shortening. Is my ability to walk and care for myself improving? It typically takes 3-4 months in adults for femur shaft fracture to consolidate. "for a broken femur and tib requiring rods/pins, what would be the avg hosp stay and avg recovery time? Although recovery is a slow process, your commitment to physical therapy and following your doctor’s guidelines are an essential part to returning to the activities you enjoy. Beyond suffering pain, a hip fracture results in a loss of physical function, decreased social engagement, increased dependence, and worse quality of life. ORIF - femur - discharge; Open reduction internal fixation - femur - discharge. X-rays. Your child’s healthy leg may also be x-rayed for comparison. When a bone breaks and is displaced, the pieces often overlap and shorten the normal length of the bone. Learn more about A.D.A.M. After discussing your symptoms and medical history, your doctor will do a careful examination. There are different types of spica casts, but, in general, a spica cast begins at the chest and extends all the way down the fractured leg. The age-adjusted Charlson Comorbidity Index may serve as a useful tool to predict survival after distal femur fractures. Sit on a shower stool to avoid falling while showering. To help you gauge how well your rehabilitation is going, as you recover ask yourself: The goals of rehabilitation are to get you and your knee back to as normal function as possible. Distal Femur (Thighbone) Fractures of the Knee. Your doctor and nurses will work to reduce your pain, which can help you recover faster. In this type of operation, metal pins or screws are placed into the bone above and below the fracture site. The most common procedure involves the insertion of a metal pole (known as an intramedullary rod) into the center of the thigh bone. This helps reconnect the two ends which are then secured with screws above and below the fracture. The skin around the fracture may be intact (closed fracture) or the bone may puncture the skin (open fracture). Other tests that will provide your doctor with more information about your injury include: Nonsurgical treatment options for distal femur fractures include: Patients with distal femoral fractures of all ages do best when they can be up and moving soon after treatment (such as moving from a bed to a chair, and walking). Whether your fracture is treated with surgery or not, your doctor will most likely discourage weightbearing until some healing has occurred. © 2005-2020 Healthline Media a Red Ventures Company. Most of the time, the rods and plates used to help the bone heal will not need to be removed in a later surgery. The surgical time for a broken femur usually last 1-2 hours. 2000;31(suppl 3):C62–C63. When you are allowed to put weight on your leg, it is very normal to feel weak, unsteady, and stiff. Functionaltraining will include gait training, and resistance and balance exercises. Set up a bed or use a bedroom on the first floor. The most common cause of femoral shaft fracture is a motor vehicle or motorcycle crash. Open fractures expose the fracture site to the environment. How much blood is lost will depend upon the severity of your fracture and the procedure used to treat it. As we age, our bones get thinner. Choy WS, Kim KJ, Lee SK, et al. If you are not wearing a leg brace or immobilizer, carefully wash your incision with soap and water when your provider says this is OK. Gently pat it dry. To help the fracture heal, your doctor may suggest applying a bone graft to the fracture, and changing or adding to how it was fixed (plates, screws, rods). how long does surgery take on a broken femur? Frailty, poor vision, the use of a combination of medications, and trip hazards in the home also increase the likelihood of falls. An open fracture is rare. When there is a break anywhere along this length of bone, it is called a femoral shaft fracture. Your doctor may use a combination of these medications to improve pain relief, as well as minimize the need for opioids. Campbell's Operative Orthopaedics. This pressure can decrease blood flow, which prevents nourishment and oxygen from reaching nerve and muscle cells. The femur is the longest bone in the body. The cast may also extend down the uninjured leg, or stop at the knee or hip. The most common surgery for a broken femur is called intramedullary nailing. Depends on the severity of the fracture and the experience of the surgeon. Be aware that although opioids help relieve pain after surgery or an injury, they are a narcotic and can be addictive. The femur, also known as the thigh bone, is one of the largest and strongest bones in the body extending from the hip joint all the way down to the knee joint.
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