Sep 26, 2024 · Neck of femur (NOF) fractures, or femoral neck fractures, are common injuries sustained by older patients who are more likely to have both unsteadiness of gait and reduced bone mineral density, predisposing to fracture.

Femoral neck fractures are common injuries to the proximal femur associated with increased risk of avascular necrosis, and high levels of patient morbidity and mortality. Diagnosis is generally made radiographically with orthogonal radiographs of the hip.

Dec 14, 2020 · Neck of femur (NOF) fractures typically occur in the elderly, with a predominance for women (4:1). However, they can occur in young patients as a result of high-energy trauma. In 2011, approximately 80,000 hip fractures were treated in the United Kingdom.

Garden splits into four categories depending on the severity of the fracture and the degree of displacement. The fractures are graded, depending on the type, pattern and whether or not there is displacement of the bone: Type I is an incomplete fracture or valgus impacted fracture. Type II is a complete fracture without displacement.

Apr 20, 2023 · In this article, we will look at the classification, anatomy, clinical and radiological features, and management of neck of femur fractures. Neck of femur (NOF) fractures can occur anywhere from the subcapital region of the femoral head to 5cm distal to the lesser trochanter (Fig. 1). Figure 1 – The bony landmarks of the anterior proximal femur.

Plain radiograph s (sensitivity 93-98%) is the first-line investigation for suspected Neck of Femur (NOF) fractures. Serious complications (for example avascular necrosis and non-union) are very common without surgical intervention.

NOF stress fractures are subdivided into two categories: Compressive type: occurs at the inferior aspect of the NOF. This type of fracture occurs when the forces applied to the bone are higher than the plastic properties of the bone. [3] eg Sideway falls (the leading cause of hip fracture in the elderly). [8] .

These injuries may be correctly termed fractures of the 'neck of femur' (NOF). The Garden classification system is a traditional means of assessing severity of neck of femur fractures. The system broadly corresponds with prognosis - the more displaced, the more likely the blood supply to the femoral head is compromised.

Types of neck of femur fracture and their surgical management

Mar 5, 2021 · It is important to diagnose the type of fracture as this influences treatment. The usual classification of fractures is: Intra-capsular – from the subcapital region of the femoral head to basocervical region of the femoral neck, immediately proximal to the trochanters